Oakridge Academy Student Application 2025-2026

Oakridge Academy Student Application 2025-2026
✦ General Student Information ✦
Date of Application

MonthDayYear
Date
Entering Grade Level

Transitional Kindergarten (Reinforcing Pre-Kindergarten Skills)Kindergarten1st Grade2nd Grade
Program Preference Both program options include access to our Prenda Curriculum and opportunities to attend schoolwide field trips and events. *

3 Day Program (Monday, Thursday, Friday)5 Day Program (Monday - Friday)
Student Name*

First NameLast Name
Student Middle Initial/Name
Preferred Name (if applicable)*
Student Birth Date*

MonthDayYear
Date
Sex*

MaleFemale
Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Please enter a valid phone number.
Primary Parent/Guardian*

First NameLast Name
Primary Parent/Guardian Occupation*
Primary Parent/Guardian Place of Employment*
Primary Parent/Guardian Phone Number*
Please enter a valid phone number.
Primary Parent/Guardian Business Phone Number
Please enter a valid phone number.
Primary Parent/Guardian Email*
example@example.com
Primary Parent/Guardian Home Address*

Same as studentListed below
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Parent/Guardian*

First NameLast Name
Secondary Parent/Guardian Occupation*
Secondary Parent/Guardian Place of Employment*
Secondary Parent/Guardian Cell Phone Number*
Please enter a valid phone number.
Secondary Parent/Guardian Business Phone Number
Please enter a valid phone number.
Secondary Parent/Guardian Email Address*
example@example.com
Secondary Parent/Guardian Home Address*

Same as studentListed below
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Siblings: Please list the names and ages of any siblings currently living in the home.*
✦ Health & Safety ✦
All enrolled students are required to submit proof of current vaccinations by providing a valid Florida Department of Health (DOH) vaccination form, completed and signed by the child’s pediatrician.

Please note: This form will be requested upon enrollment.
Are your child’s vaccinations up to date?

YesNo
Does your child wear glasses or contacts?*

YesNo
Does your child have any allergies or sensitivities?*

YesNo
Please list any known allergies or sensitivities. For students with severe allergies, an EpiPen or appropriate allergy medication must be provided for use at school.
Does your child have any chronic medical conditions?*

YesNo
Please list any chronic medical conditions?
Does your child take medication daily?*

YesNo
If yes, please list the types, names, dosage and schedule.
Pediatrician: First & Last Name:*
Pediatrician: Clinic Phone Number*
Please enter a valid phone number.
Emergency Contact: Who should we contact if neither parent can be reached?*

First NameLast Name
Relationship to Student:*
Emergency Contact Phone Number*
Please enter a valid phone number.
✦ Educational Background & Support Services ✦
Please list previous schools or homeschool programs and dates attended:*
Reason for leaving previous school/program:*
Has your child received any developmental therapies (e.g., speech, OT, ABA)?*

Speech TherapyLanguage TherapyOccupational TherapyPhysical TherapyApplied Behavior Analysis (ABA)None
If yes, please specify time period below (MM/YYYY).
Does your child require assistance and/or modifications to the school's programs and services in order to fully participate? If yes, any request for assistance must be made known to the school in writing before acceptance.*

YesNo
Has student been expelled or asked to withdraw from a school?*

YesNo
If so, why?
What would you like us to know about your child? What are their strengths, interests, or qualities that make them shine?*
In what ways might we best support your child’s growth, especially in areas that have felt challenging in the past?*
What do you hope your child gains from their experience this school year?
✦ Required Documents & Information ✦
Please attach a copy of your child's birth certificate or passport.*

Cancelof
Authorized Pick-Up List: First & Last Name*
Students will not be released to anyone who is not on this form. Please reach out to admin@myoakridgeacademy.com to add or remove names from this list.
✦ Application Fee ✦

By submitting this application, I authorize Oakridge Academy to charge a non-refundable $50 application fee. I understand that this fee covers the processing and review of my child’s application and does not guarantee admission.*

Non-Refundable Application Fee

$50.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

✦ Parent/Guardian Acknowledgment & Agreement ✦
Please read the following statements carefully. All boxes must be checked in order for your application to be accepted. By checking the boxes below, you acknowledge and agree to the terms outlined for enrollment at Oakridge Academy:*

I/We understand that the application fee is non-refundable.I/We authorize Oakridge Academy to contact current and previous schools, as well as other relevant sources, to obtain information in support of this application.I/We understand that Oakridge Academy is a learner-driven environment that encourages students to work with independence, focus, and care for their learning community. We agree to support the school’s expectations for respectful behavior, kindness, and personal responsibility—both for our child and our family.I/We agree to uphold and support the mission, values, policies, and behavioral expectations of Oakridge Academy—for both our child(ren) and ourselves.I/We understand that if we accept an enrollment offer, the registration fee must be paid and the Enrollment Agreement signed to secure our child’s place.By signing electronically below, I/We certify that the information provided in this application and throughout the admissions process is true, complete, and accurate. I/We understand that any false, misleading, or omitted information may result in denial of admission or revocation of enrollment.
✦ Parent/Guardian Electronic Signatures✦

Both parents/guardians are required to sign this application, unless legal documentation is provided showing that only one parent has the authority to make educational decisions.
By typing your name below and submitting this form electronically, you affirm that this signature has the same force and effect as a handwritten signature. Pursuant to Florida Statutes § 668.004, electronic signatures are legally binding and enforceable in the State of Florida.
Parent/Guardian 1 : I have read, understood, and agree to the terms above.*

Yes
Parent/Guardian 1 : Electronic Signature*

Powered by Jotform SignClear
Parent/Guardian 1 : Please type your full legal name*
Date of Signature:*

MonthDayYear
Date
Parent/Guardian 2 : I have read, understood, and agree to the terms above.*

Yes
Parent/Guardian 2 : Electronic Signature*

Powered by Jotform SignClear
Parent/Guardian 2 : Please type your full legal name*
Date of Signature:*

MonthDayYear
Date
Should be Empty:

Oakridge Academy Student Application 2025-2026

✦ General Student Information ✦

✦ Health & Safety ✦

All enrolled students are required to submit proof of current vaccinations by providing a valid Florida Department of Health (DOH) vaccination form, completed and signed by the child’s pediatrician.

Please note: This form will be requested upon enrollment.

✦ Educational Background & Support Services ✦

✦ Required Documents & Information ✦

✦ Application Fee ✦

✦ Parent/Guardian Acknowledgment & Agreement ✦

✦ Parent/Guardian Electronic Signatures✦