Clone of 2025-2026 Oakwood Registration Form

Child's First Name

Child's Last Name

Name child prefers to be called

Child's Birth Date

MonthDayYear

Child's Gender

Age on Sept 1, 2026

Have you secured admission to Heartland Charter School for 2026-2027?

Academic Grade Level for 2026-2027 (As recognized by Heartland Charter School)

Does your child work or socialize at a different grade level than indicated above, in some or all areas?

Preferred Class for 2026-2027

Preferred Cohort

Guardian #1 Name (first contact)

First NameLast Name

Guardian #1 Mobile Number

Please enter a valid phone number.Format: (000) 000-0000.

Home phone number (if applicable)

Please enter a valid phone number.Format: (000) 000-0000.

Guardian #1 Email

example@example.com

Guardian #2 Name

First NameLast Name

Guardian #2 Mobile Number

Format: (000) 000-0000.

Guardian #2 Email

example@example.com

Are both listed guardians authorized to pick up? If not, please indicate below, and provide relevant documentation.

Please list all others authorized to pick up by full name and relationship to the child. Example: Kristina Prozesky (neighbor). We will check ID before releasing anyone listed here who has not picked up before, and will not release to those not on this list. Guardians listed above do not need to be on this list.

Name of FIRST person (INCLUDING parent, or other person authorized above) to call to pick up due to illness or Emergency:

Phone Number of FIRST emergency contact

Please enter a valid phone number.Format: (000) 000-0000.

Name, phone number, and relationship of SECOND emergency contact, to be contacted in the case that both FIRST emergency contact and other given parent phone number(s) cannot be reached.

Name, phone number, and relationship of an additional emergency contact, to be called in the case that both first emergency contact and all other given parent phone number(s) cannot be reached.

Child's Primary Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do the child, Guardian #1 and Guardian #2 live at the same address? If not, please provide alternate address(es).

We will be listing Parent #1 phone phone number and city of residence (city only, not full address) in the program directory. This information will not be sold or used in any other way, and is strictly for the purpose of connecting enrolled families.

What is your child's school for the CURRENT 2025-2026 academic year?

What other school(s) or program(s) has your child attended previously?

Please give your reason(s) for leaving prior programs.

How did you first hear about us?

Of the reasons that you chose Oakwood, which is the most important to you? (Choose up to 3)

If you are a new Oakwood family, please give any names of currently enrolled families who would recommend you. If you recently moved here (welcome!), please let us know that, as well.

Oakwood families are expected to volunteer in some way during each month of the school year. We provide many opportunitites to make a special impact on the life and vibe of our program, whether it is fixing something that's broken, or donating your choice of items from our wish list. Please let us know what special skills you bring to the community, and a preview of what areas you plan to sign up for at the Orientation Night. If you are joining after the start of the year, we will be reaching out based on your responses given here.

Guardian #1 Profession/Skills

Guardian # 2 Profession/Skills

Please choose up to four options that interest you MOST as a family. The order in this list is randomized to help get a variety of responses.

Would you like to be contacted about employment at Oakwood?

We endeavor to take beautiful and inspiring photos on a daily basis, and during special events. We also take portraits for the yearbook in the Spring. These candid photos and portraits are used for the yearbook, and for our internal newsletters, viewable by parents only. We also take video of our musical performances. By enrolling in Oakwood, you consent to use of photos and video for the purposes listed above.

We also occasionally use photography to raise awareness of our program on our website, social media, and in print, while never including students' names or our program location. Candid classroom photos are very helpful in conveying what Oakwood is all about, and we appreciate your consent for your child's image to represent our program. See our website for examples of use, and offer your consent for media use below, if applicable.

Please read the paragraph above and indicate your consent for photos of your child to be used for Oakwood media purposes:

Does your student have an IEP?

If yes, or you think they need one, please explain:

What would you like us to know about the way your child learns and interacts?

Tell us something special that you love about your child:

What plans do you have for your "off days" from Oakwood?

Who is your Heartland HST? If you don't have one yet, please write "unassigned."

Who is your primary learning coach at home?

Which best describe your homeschool style? Check 1-5 that apply best.

Name the last three books that you read with your child (or that your child read independently, if you do not read together).

Please describe your plans for teaching math at home.

Please describe your plans for teaching language arts at home.

Please list any curriculum not mentioned above that you already plan to use at home this upcoming year:

Does your child have known food or insect allergies, or other medical concerns?

Today's Date

Date

Your application is not complete until you have taken an in-person tour with your child, and submitted your $75 application fee. Please send that right away, so you don't forget and fail to enroll! You can Venmo Kristina-Prozesky, or mail a check to 5495 Palma Ave, Atascadero 93422.

The re-enrollment fee for current students is $50. Please submit it right away to avoid losing your spot on April 1, when open enrollment begins.

Tours are offered throughout the school year on Thursdays at 11:00am, and we must meet your child before admission. Please visit the website to set up a tour right away, and to recieve our location address.

Final admission and cohort decisions will be made by June 30 at the latest, and you will recieve a contract and more program info at that time.

Please add all program dates to your calendar, including the mandatory orientation session for Fall 2026, below:

September 8th, 2026, 6:00pm- Grades 1-8 Orientation

September 9th, 2026, 6:00pm- TK/K Orientation

September 10th, 2025, 6:00- High School Orientation

This session is mandatory for all new and returning families. Students are not part of the orientation, but we will have one staff member available for babysitting all ages on the playground.

I will submit my application fee today by:

Oakwood Enrichment Academy September 2026-May 2027