2020-21 Initial Application

2023-2024 Grades K - 8

Initial Application

Oak Creek Charter School

28011 Performance Lane

Bonita Springs, FL 34135

Phone: (239) 489-6864

Email: lruhl@oakcreekcharter.org

Web: www.oakcreekcharter.org
Student Information

Please submit only one application per student.
Student Last Name:*
Student First Name:*
Student Middle Name:
Grade for 2020-21 School Year*
Currently enrolled sibling?*

YesNo
Current Sibling Name:
How did you hear about OCCS?*

OnlineFacebookAdvertisementEventFamily/FriendOther
Please describe how you heard about OCCS: *
Name of family that referred you:
Residence Address:
Student Street Address*
City*
State*
Zip Code*
Sex:
Your child's sex:*

MaleFemale
Date of Birth:
Your Child"s Date of Birth:*

MonthDayYear
Date
Contact Information:
Mother/Guardian
Mother/Guardian Last Name:*
Mother/Guardian First Name:*
Mother/Guardian Email:*
Mother/Guardian Home Phone:*
Mother/Guardian Cell Phone:*
Father/Guardian:
Father/Guardian Last Name:*
Father/Guardian First Name:*
Father/Guardian Email:*
Father/Guarian Home Phone:*
Father/Guardian Cell Phone:*
Last School Attended:
List name, city and state of last school
I certify that the above enrollment information is true and accurate to the best of my knowledge.
Printed Name of Parent/Guardian*
Relationship:*
Date:*

MonthDayYear
Date
Thank you for choosing Oak Creek Charter School!
Should be Empty: