Vida Academy Student Application
Thank you for your interest in Vida Academy! Please complete this application form to begin the enrollment process. Once submitted, we will review your application and contact you regarding the next steps. The application takes about 20-25 min to complete.
Student's Name
*
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Current Age
*
Primary Language(s) Spoken at Home
*
Grade Level Applying For:
Kindergarten
First Grade
What is your child's current education setting?
Homeschool
Public School
Private School
My child hasn't started school yet.
Does the student have any allergies, medical conditions, or special needs? If yes, please provide more details.
Parent / Guardian Full Name
*
Relationship to Student
Phone
*
Email
*
Address
*
Are you applying for full-time or part-time enrollment?
Full-Time ($1,175/month)
Part-Time ($700/month)
Are you interested in Vida Ventures (after school enrichment)? If yes, we will provide more information separately.
Yes
No
How did you hear about Vida Academy?
Social Media
Word of Mouth
Online Search
Flyer/Event
What are your goals for your child's education, and what aspects of their learning experience are most important to your family?
Does your child have any special interests or strengths we should know about?
Parent/Guardian Agreement
*
I confirm that the information provided in this application is accurate and complete. I understand that submitting this application does not guarantee enrollment, as spaces are limited and subject to review. I also understand that additional documents, such as a copy of my child’s birth certificate and immunization records, will be required later in the enrollment process.
My Products
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Application Fee
$
75.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: