Registration Form (2025-2026)

Registration Form
2025-2026

If you have multiple students please include them all in this form.
Do you have student(s) currently enrolled at Edison School?*

NoYes

Re-Registration
This section is for students who are currently attending Edison School. If you have a child who is entering Kindergarten, or a child who does not currently attend but you would like to enroll them, please submit a separate form for their new enrollment.
Please enter the names of your children currently attending Edison School, who will be returning next school year.*

Parent Information
Parent Name*

First NameLast Name, Middle Initial
Email*
Phone Number*
Format: (000) 000-0000.
How Did You Hear About Edison School?*

How did you hear about Edison School?
If you marked "Other", please let us know where you heard about our school*

Registration
Would you like to register your students today?*

Yes, I would like to submit my official registration form for my student(s).No, I'm not ready yet but would like to receive additional information.

Student #1 Information
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Grade Entering*
Previous School Attended (if applicable)
Does Your Student Have an Existing IEP or 504 Plan?*

NoneIEP504 PlanPrefer not to answer
Do You Have Additional Students to Add?*

YesNo

Student #2 Information
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Grade Entering*
Previous School Attended (if applicable)
Does Your Student Have an Existing IEP or 504 Plan?*

NoneIEP504 PlanPrefer not to answer
Do You Have Additional Students to Add?*

YesNo

Student #3 Information
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Grade Entering*
Previous School Attended (if applicable)
Does Your Student Have an Existing IEP or 504 Plan?*

NoneIEP504 PlanPrefer not to answer
Do You Have Additional Students to Add?*

YesNo

Student #4 Information
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Grade Entering*
Previous School Attended (if applicable)
Does Your Student Have an Existing IEP or 504 Plan?*

NoneIEP504 PlanPrefer not to answer
More students to register?

If you have more than 4 students to register, please email the school office with the additional student(s) details at info@edisonschoolaz.org

Electronic Signature Agreement
By checking "Yes", I certify that I am signing this Registration Form electronically. I agree that my electronic signature is the legal equivalent of my manual signature on this form.*

Yes
Are You a Current Resident of Arizona?*

YesNo, but I will be soon
Signature of Parent/Guardian (type your full name)*

First NameLast Name
Should be Empty: