Elementary Student Registration Form
Fill out the form carefully for registration
Parent's Name
*
First Name
Last Name
Parent's E-mail
*
example@example.com
Phone Number
*
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Name
*
First Name
Last Name
Student Birthday (mm/dd/yy)
Gender
*
Please Select
Male
Female
N/A
What grade will the student be entering?
*
Please Select
K
1st
2nd
3rd
4th
5th
Allergy Information
*
If none, please write none in the space provided.
Does your child use an EpiPen?
*
Yes
No
N/a
Elementary Questionnaire
Please sure to answer each question. This questionairre allows us to recommend the best placement for your child to ensure they have a successful experience at Ignite.
What math and ELA curriculum will you be using at home?
*
Reading
*
My child is a pre-reader. They are not currently reading independently.
My child can read some words independently.
My child is an emerging reader and is able to read some independently.
My child is able to read grade level appropriate chapter books independently or with little assistance.
Writing
*
My child can write some letters and words independently.
My child can write short sentences independently.
My child is able to copy sentences from the board.
My child is able to write short paragraphs independently.
Educational Concerns
*
Additional Concerns
Submit
Should be Empty: