School Enrollment Form

School Enrollment Form

New Life Academy
Student Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Public School District*
School Year
Grade (2025-2026 School Year)
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent of Guardian Name

First NameLast Name
Parent of Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church School of Enrollment: New Life Academy School Phone: 205-212-4723

Address 400 Roebuck Drive

Birmingham, AL 35206
Parent or Guardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty: