SY25-26 Maga'låhen Hurao CHamoru Academy Charter School Registration

Student Registration Form

Updated JUNE 2025
PROPOSED FIRST DAY OF SCHOOL:

August 11, 2025

GRADES:

K3* - 6th Grade

*Students must turn 3 by December 31st of the school year they are enrolling and be potty-trained upon enrollment. Any students born after this date will be subject to additional assessment to determine admission.

SCHOOL DAY:

Lunes - Betnes | 8:00am - 2:45pm

LOCATION:

196 Bejong St. Barigåda, GU 96913 (Former San Vicente School Campus)
REQUIRED DOCUMENTS FOR ENROLLMENT:

Maga'låhen Hurao CHamoru Academy Charter School Enrollment Packet: (Download link will be emailed upon admission)
- Family Commitment Letter
- Media Waiver Form
- Waiver of Liability Form
- Potty Training Policy (K3/K4 Only)
Other Required Documents:
- Child's Birth Certificate
- Updated School Physical (must be certified by physician and reflect SY2025-2026)
- Current Immunization Shot Record (with current PPD skin test)
- Latest Report Card/Transcripts and Withdrawal Form (If transferring from another school)
- Any relevant legal documents (if applicable)
STEPS TO ENROLL:

Please read the steps below carefully before completing this application.

Maga’låhen Hurao CHamoru Academy Charter School is a public charter school with limited space. Submitting this application does not guarantee admission, but ensures your child will be considered.

1. Submit One Application Per Child
→ Complete a separate application for each child you wish to enroll.
→ The deadline to submit is Thursday, July 11, 2025, at 11:59 PM ChST.

2. Wait for Notification
→ Families will be notified of enrollment status by Sunday, July 14, 2025 via email.
→ If accepted, you’ll receive next steps for submitting all required documentation.

3. Submit Required Documents (If Admitted)
→ If your child is offered a seat, you must submit all required forms and records by the deadline provided.
→ If you miss the document deadline, your child’s seat will be given to the next student on the waitlist.

4. If a Lottery is Needed
→ If there are more applications than available seats in a grade, we will hold a random, electronic lottery.
→ All on-time, complete applications will be entered.
→ Students not selected will be placed on a waitlist for SY 25–26.

5. Sibling & Staff Preference
→ Priority is given to siblings of currently enrolled students and children of full-time staff members, as space allows.
→ Be sure to indicate sibling or staff connections in your application.

*For families, please submit a new form for each child you would like to enroll.

Emfotmasión Mediku yan Salut

Medical and Health Information
Does your child take any medications at home or at school?*

YesNo
Please provide details
If your child needs to take medications at school, a Medical Authorization Form must be signed and submitted. Forms are available at the office.
Does your child have any allergies to any of the following: Insect Bites, Food, Seasonal Allergies, Latex, Medicine, etc.*

YesNo
Please provide details
Please provide Maga’låhen Hurao with all information regarding your child’s health.
e.g. Eczema, Asthma, Cardiovascular, Diabetes, Growth Development, Hearing, Medication, Neurological, Rheumatic Fever, Scoliosis, Seizures, Surgery, Tuberculosis, etc.

Emfotmasión Diripente

Emergency Information
Emergency Contact (Other than parent(s)/legal guardian(s) listed above.)*

Last NameFirst Name
Relationship to Child*
Phone Number*
Please enter a valid phone number.
Alt. Phone Number*
Please enter a valid phone number.

Inapreban Kinenne'

Authorized Pick-up
Aside from the parent(s)/guardian(s) listed above, your child(ren) will only be released to the people designated below. Valid Guam I.D.s must be provided to the office.
Name

First NameLast Name
Relationship to Child
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Relationship to Child
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Relationship to Child
Phone Number
Please enter a valid phone number.

Acknowledgement, Authorization, and Consent
By signing this form, I hereby authorize the school to use the information herein provided for the processing of my child's application. I understand that the information shared herein shall be for the purpose of the admission of my child.

I authorize and provide consent to the school in releasing my child's medical and health information with the school's health services.

I further declare that the information I have provided in this form is true and correct to the best of my knowledge.
Signature of Parent/Guardian*

Clear
Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

	YES	NO
Has the student been diagnosed with any form of disability that may impact learning? (i.e. ADD, ADHD, ED, etc.) (If yes, please include a copy of the report.)
Has the student received any additional assistance for learning with disabilities?
Does the student have problems with reading or has been diagnosed with dyslexia? (If yes, please include a copy of the report.)
Has the student ever been retained a grade? (Please indicate grade level)
Has the student ever skipped a grade? (Please indicate grade level)
Has the student ever been subject to disciplinary actions such as suspension or expulsion?

	YES	NO
Is either of the student's parents deceased?
Are there custody restrictions on either parent? (If yes, please submit a copy of legal documents.)
Does the student have a legal guardian? (If yes, please submit a copy of legal documents.)

Student Registration Form

Emfotmasión Familia

Emfotmasión Mediku yan Salut

Emfotmasión Diripente

Inapreban Kinenne'

Otro Mås Na Emfotmasión

Acknowledgement, Authorization, and Consent