Highlands Latin Cottage School Application Form

Application Form

Please complete this form to apply for admission. All information is confidential and used solely for enrollment purposes. A $100 non-refundable application fee per student is required in order to process your application. Please use the payment option at the bottom of this form for your payment. For enrollment questions, please contact Lauren Baerg at admin@HLSDFW.org or (310) 748-1029.
Parent / Guardian Information

Please provide details for at least one parent or legal guardian.
Parent/Guardian 1 Full Name

First NameLast Name
Relationship to Student (Parent/Guardian 1)
Phone Number (Parent/Guardian 1)
Please enter a valid phone number.Format: (000) 000-0000.
Email (Parent/Guardian 1)
example@example.com
Address - Parent/Guardian 1

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Occupation (Parent/Guardian 1)
Church Affiliation (Parent/Guardian 1)
Parent/Guardian 2 Full Name

First NameLast Name
Relationship to Student (Parent/Guardian 2)
Phone Number (Parent/Guardian 2)
Please enter a valid phone number.Format: (000) 000-0000.
Email (Parent/Guardian 2)
example@example.com
Address - (if different Parent/Guardian 1) Parent/Guardian 2

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Occupation (Parent/Guardian 2)
Church Affiliation (Parent/Guardian 2)
Mother and Father Marital Status

Other
Receives Correspondence
Number of Children in the Household

Your Interest in Our Program & Application Acknowledgment
How did you hear about Highlands Latin Cottage School?

Other
If Friend/Family (Please list their name)
Have you attended an interest meeting or tour?
What led you to apply?
Declarations & Consents

Please read and agree to the following declarations and consents.
I understand that the doctrinal teachings of Highlands Latin Cottage School DFW are grounded in and aligned with the Holy Scriptures of the Bible.
I understand that Highlands Latin Cottage School is a full academic program that entails a five-day lesson plan, and I acknowledge that my student(s) will be expected to complete the assigned work on home academic days.
I understand that submission of this application does not guarantee my child’s acceptance and that enrollment is subject to assessment, review and availability. I certify the information provided is true and authorize prior schools to provide Highlands Latin Cottage School DFW with records and opinions regarding the applicants.
Signatures & Submission

Final step: sign and submit your application.
Parent/Guardian Name (typed)

First NameLast Name
Digital Signature (Parent/Guardian)
Date of Application

MonthDayYear
Date

New Student Application

Please indicate the number of students applying for admission

$100.00 Quantity
Item subtotal:

Total

Application Form