School Registration Form

Apply for the 2024-2025 School Year!
The Orlando Preparatory Academy
Additional documents REQUIRED for registration

Please upload the documents below to complete registration.

• Original Certified Birth Certificate
• Original Social Security Card
• Current Immunization Form
• Current Proofs of Residence (ex. power, water or gas bill)
File Upload

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Student Information
Name

First NameLast Name
Birth Date

MonthDayYear
Date
Gender
Ethnicity
Student Email Address
example@example.com
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Grade
Semester
Have you previously applied to or attended this school?

YesNo
Do you plan on using Step Up or any other scholarships?

YesNo
If yes, what year?
Current Residence Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact 1
Name

First NameLast Name
Phone Number
Email
example@example.com
Emergency Contact 2
Name

First NameLast Name
Phone Number
Email
example@example.com
Physician and Medical Information
Name

First NameLast Name
Phone Number
Email
example@example.com
Preferred Hospital
Insurance/Health Coverage (Company)
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.

Previous School
School Name
City
State
Date Started

MonthDayYear
Date
Date Ended

MonthDayYear
Date
Notes
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Thank you.
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