Family Application Form

HLS Phoenix Valley Application Form

Thank you for applying to Highlands Latin Phoenix Valley. We will be in contact with you shortly to answer any questions you have about choosing a cottage school. You may also email us at katie@hlsphoenixvalley.org.
Parent Information
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mother's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Mother's E-mail*
Mother's Occupation*
Mother's highest level of education:*
Father's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Father's E-mail*
example@example.com
Father's Occupation*
Father's highest level of education:*
Married?*

MarriedSeparatedDivorcedOther
Emergency Contact (someone other than a parent)*

First NameLast Name
Emergency Contact Number*

Area CodePhone Number
Student Information
Number of Students Applying
Student 1 Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Rising Grade Level*
Child's Hobbies/Interests/Activities
Student 2 Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Rising Grade Level
Child's Hobbies/Interests/Activities
Student 3 Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Rising Grade Level
Child's Hobbies/Interests/Activities
List any additional students with DOB and Rising Grade Level
Describe your child's achievements and/or past education history:*
Schools attended before HLS Phoenix Valley enrollment:*
What led you to apply at HLS Phoenix Valley?
What best describes your religious background?*
Does the applicant/s have any of the following?:*
If so, please provide a summary below:
Have any of the applicants:*

Been tutoredRepeated a gradeBeen subject to disciplinary actionMissed more than 4 days in a school yearBeen diagnosed with a serious physical or mental illnessNone of the above
Is there anything else you would like to share about your child?*
Does your child have any allergies?*
Any other medical condition you wish to declare?
Please submit the following to complete your application
1. A family photo (Christmas card, etc) or a recent photo of each applicant
2. Most recent standardized test
3. Attendance record
4. Report card
5. Request two Recommendation Forms from someone who has taught the applicant at some capacity outside the home.
6. The Enrollment Fee below
You may upload the documents and email them to admin@hlsphoenixvalley.org, or mail to:

3133 E Daley Ln

Phoenix, AZ 85050
Enrollment Fee*
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Student Enrollment Fee$250.00
The student enrollment fee is to secure your child's spot in enrollment at HLS Phoenix Valley and is your good faith commitment to attending in the fall. The enrollment fee is non-refundable and is required per child.

Quantity

Total $0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
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HLS Phoenix Valley Application Form

Parent Information

Student Information