Microschool Application

Sage Microschool Enrollment Application

Please complete one application per child and submit via jotform or print and return via email to BrooksvilleSage@gmail.com

Deadline for turning in application for the 2025 Fall Semester is Semptember 1, 2025
Student Information
Full Name
Date of Birth

MonthDayYear
Date
Address
City, State, Zip
Parent/Guardian 1 Contact Information:
Parent/Guardian Name
Relationship to Student
Phone Number
Email Address
example@example.com
Address if different from student
Parent/Guardian 2 Contact Information:
Parent/Guardian Name
Relationship to Student
Phone Number
Email Address
example@example.com
Address if different from student
Medical Information
Does your child have any medical conditions? Yes / No
If yes please specify
Does your child have any environmental/food allergies? Yes / No
If yes please specify
Are there any medications your child takes regularly? Yes / No
If yes please specify
Student Background
What is the primary language spoken at home?
Does your child speak any other languages?
How does your child typically handle social situations with peers?
Does your child have any special interests or hobbies?
If yes please specify
Parent/Guardian Involvement
Are you available to volunteer for school events or activities? Yes / No
Are you available to volunteer as a substitute teacher during unforeseen circumstances given a dedicated lesson plan? Yes / No
Do you have special skills/hobbies you'd love to share with students as a guest teacher? (Guest reading, pottery, animal care, games, cooking, music, dance, engineering, crafts, painting, etc.)
Do you have any experience with homeschooling/microschools?
Is there any additional information you would like to share about your child?
How did you hear about our school?
ParentGuardian Signature

Clear
Date

MonthDayYear
Date
Parent Guardian Printed Name
By signing you agree to the school policies & guidelines
Should be Empty:

Student Information

Parent/Guardian 1 Contact Information:

Parent/Guardian 2 Contact Information:

Medical Information

Student Background

Parent/Guardian Involvement