RETURNING STUDENT 2026-27 Pre-Registration Form
Thank you for continuing your partnership with Burhan Academy for your children's education. The early bird discounted registration fee for returning students was available from Jan 5-Jan 31. Now the regular registration fee is $150. Your seat will be confirmed only when all documents and health forms have been submitted to the office, and the resource fee and first month's fee (or full annual tuition) has been paid (latest by July 1). There should also be no past due balance on your child's OPENSIS account. We will send the updated handbook for electronic signatures separately. We apologize if some information requested seems repetitive, but since many parents did not fill the forms that we had emailed several times since October 2025, we need to collect all the records electronically.
Parent/Guardian Information
Guardian 1 Name
*
First Name
Last Name
Guardian 2 Name
*
First Name
Last Name
Guardian 1 Email
*
example@example.com
Guardian 2 Email
*
example@example.com
Guardian 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact 1
*
First Name
Last Name
Relationship to student/s
*
Emergency Contact 2
*
First Name
Last Name
Relationship to student/s
*
Emergency Phone Number 1
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Phone Number 2
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School district of residence
*
Primary care physician/pediatrician name
*
Dentist's name
Primary care physician/pediatrician Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
is English your child's/children's first language?
*
Please Select
No
Yes
Primary language spoken at home?
*
How many children are you registering?
*
Please Select
1
2
3
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Student Information
Student 1
Legal Name (as on the birth certificate)
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Place of Birth (city, state, country)
*
Student Race (ISBE categories)
*
American Indian or Alaska native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student lives with
*
Please Select
Mother & Father
Mother
Father
Foster Parent
Other Guardian
Does the student have:
*
Diabetes
Seizure Disorder
Asthma
Allergies
None of the above
Other
Please explain any allergies or medical conditions here.
Does the student take medication during school hours?
*
Please Select
No
Yes
If so, mention medication name, dosage, and timing
Grade Level for Enrollment at Burhan Academy
*
Please Select
PreSchool Half Day (3-year-olds)
PreSchool Full Day (3-year-olds)
PreK Full Day (4-year-olds)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Student 2
Legal Name (as on the birth certificate)
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Place of Birth (city, state, country)
*
Student Race (ISBE categories)
*
American Indian or Alaska native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student lives with
*
Please Select
Mother & Father
Mother
Father
Foster Parent
Other Guardian
Does the student have:
*
Diabetes
Seizure Disorder
Asthma
Allergies
None of the above
Other
Please explain any allergies or medical conditions here.
Does the student take medication during school hours?
*
Please Select
No
Yes
If so, mention medication name, dosage, and timing
Grade Level for Enrollment at Burhan Academy
*
Please Select
PreSchool Half Day (3-year-olds)
PreSchool Full Day (3-year-olds)
PreK Full Day (4-year-olds)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Student 3
Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Place of Birth (city, state, country)
*
Student Race (ISBE categories)
*
American Indian or Alaska native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student lives with
*
Please Select
Mother & Father
Mother
Father
Foster Parent
Other Guardian
Does the student have:
*
Diabetes
Seizure Disorder
Asthma
Allergies
None of the above
Other
Please explain any allergies or medical conditions here.
Does the student take medication during school hours?
*
Please Select
No
Yes
If so, mention medication name, dosage, and timing
Grade Level for Enrollment at Burhan Academy
*
Please Select
PreSchool Half Day (3-year-olds)
PreSchool Full Day (3-year-olds)
PreK Full Day (4-year-olds)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
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If you are enrolling for PreSchool (3-year-olds), please choose full or half day. We are NOT offering a half-day option for Pre-K (4-year-olds) in 2026-27.
*
Please Select
Full Day Preschool 8am-3:15pm
Half Day Preschool 8am-11:30am
Not Applicable
In case of an emergency, I authorize Burhan Academy to get medical treatment for my child/children
*
Please Select
Yes I do
No I do not
I authorize Burhan Academy to give my child/ren over the counter medication like Tylenol if needed
*
Please Select
Yes I do
No I do not
I authorize Burhan Academy to give my child/ren prescription medication if the parents have provided it, in special cases.
*
Please Select
Yes I do
No I do not
I authorize Burhan Academy to use my children's photos for the Yearbook, Class Dojo, social media, website etc.
*
Please Select
Yes to all
Only Yearbook
Only Class Dojo
Only Class Dojo and Yearbook
No permission for any photos
Only the following people are authorized to pick up my children.
*
I understand I need to provide the school with ALL my child's required documents before registration is confirmed. We require a birth certificate and Illinois standard state forms for physical, vision, dental exams dated August 2025 or later.
*
Please Select
Yes, I understand
I understand in order to complete registration, there needs to be no unpaid balance in my OPENSIS account.
*
Please Select
Yes, I understand
I understand submitting this form confirms my child/ren are PRE-registered. This does not complete registration. I will receive an email from the school once they have confirmed I have submitted all documents and have no unpaid balance in OpenSIS. We will send the updated handbook separately for electronic signatures, Your child's seat will be confirmed once we have received the first month's tuition (or full annual tuition) and curriculum fee. The last day to pay those fees is July 1, 2026.
*
Please Select
Yes, I understand
Parent signature
*
Full name of parent signing
*
First Name
Last Name
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Admin Use Only
Discount1
Discount2
Discount3
Registration Fees
You are registering {howMany} student(s). Please proceed to payment to complete the payment.
Registration Fees for Students
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( X )
USD
Non-Refundable registration fees for school year 2026-2027 Pre-School- 9th Grade
Proceed to Payment
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