Intent to Enroll Form

Intent to Enroll Form

2024-25 School Year
Nikolaevsk Charter School is planning for the 2024-2025 school year. To demonstrate the need for a Charter School to KPBSD and the State School Board, we need the information requested here, as well as your intent to enroll your child.

Preference will be given to children in the Nikolaevsk School service area, and then in order by date of enrollment.
Name of Enrollee*

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Incoming Grade Level 2024-25*
Address*

Street Address/Mailing Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Enrollee Information
Where was the Enrollee previously enrolled?*

Homeschool or Name of Public School

Please list any special needs

Date of last IEPWho wrote the IEP?

Additional Comments
If your child is not currently attending Nikolaevsk School, why not?*
We want to be responsive to community Parent and Student needs as we are able.
Parental Information
Name of Parent/Guardian*

First NameLast Name
Additional Parent/Guardian

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Phone Number

Area CodePhone Number
Express Intent*

By submitting this form, I am expressing my intent to enroll my child for the coming school year. I understand that I may withdraw this intent anytime prior start of classes. I understand that I shall be notified by the school administrators for any updates regarding this intent to enroll for my child.
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Intent to Enroll Form

Enrollee Information

Parental Information