Welcome to Phalen Leadership Academy Indianapolis's Intent to Return 2026 - 2027. Please follow the steps below to continue.

1. Click "Next" on this page, and enter the information requested by the online forms.

Note: Required fields are marked as "Required", and Phalen Leadership Academy
Indianapolis will receive the data exactly as it is entered. Please be careful of spelling, capitalization, and punctuation.

2. On the "Review & Submit" page, check your data before proceeding.

3. Click "Submit"!
On the submission confirmation page you will have the opportunity to print out a copy of your Intent to Return 2026 - 2027 to keep for your records. Note: Once the form is electronically submitted, you will receive an e-mail confirmation.

An Intent to Return 2026 - 2027 form must be submitted for each student in your family. Once you have successfully submitted one Intent to Return 2026 - 2027, you will have the opportunity to begin another from the "Submission Confirmation" page.

Read-only and Hidden elds have been enabled for Preview purposes only.

Note: to change a student's name, you must present legal documentation to the main o ce of your student's school.

Chromebook/Mobile Device Student User & Parental Agreement Form

Please read the Chromebook/Mobile Device Student User & Parental Agreement Form .

Please read the Parent Compact.

Please read the FERPA.

Please read the School Messenger Consent.

I give PLA permission to release the following information concerning my child to the Indiana State Department of Health's Children and Hoosiers Immunization Registry Program (CHIRP). This information includes name, immunization data and date of birth. I understand that the information in the registry may be used to verify that my child has received proper immunizations and to inform me or my child of my child's immunization status or that an immunization is due according to recommended immunization schedules.

I understand that my child's information may be available to the immunization data registry of another state, a healthcare provider or a provider's designee, a local health department, an elementary or secondary school, a child care center, the o ce of Medicaid policy and planning or a contractor of the o ce of Medicaid policy and planning, a licensed child placing agency, and a college or university. I also understand that other entities may be added to this list through amendment to I.C. 16-38-5-3.

I do hereby give my consent to Phalen Leadership Academy (Indiana) and its designees to photograph, audio record, and/or video record my child. I understand that any such photographs, audio recordings, and/ or video recordings become the  property of Phalen Leadership Academy (Indiana) I understand that the District may use and/or reproduce the photographs, likeness or the voice of my child for any internal or external educational, instructional, or promotional activities determined by the District in broadcast and electronic media formats now existing or in the future created. I further understand that external

By signature below, I release Phalen Leadership Academy (Indiana), its Board of Trustees, agents, employees or other representatives from any liabilities, known or unknown, arising out of the use of this material.

I have read the Photography and Video Release Form and fully understand the terms and conditions outlined. I certify that I have full legal capacity to sign this Photography and Video Release Form on behalf of myself and my child.

• American Indian or Alaskan Native: A person having origins in any of the original peoples of North and South America including Central America, and who maintains a tribal a liation or a community attachment.
• Black or African American: A person having origins in any of the black racial groups in Africa.
• Native Hawaiian or other Paci c Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Paci c Islands.
• White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

In Indiana, a school cannot automatically deny enrollment solely based on a student being suspended from a previous school; however, the school district can consider the student's disciplinary history when deciding whether to accept enrollment, and may choose to deny admission if the suspension indicates potential behavioral issues that could disrupt the learning environment. Per Ind. Code 20-33-8-30 , the school corporation or charter school may withdraw consent and prohibit the student's enrollment during the period of the actual or proposed expulsion or separation if a student's parent fails to inform the school corporation of the expulsion or separation or withdrawal to avoid expulsion or separation, or if a student fails to follow the terms and conditions of enrollment

The Migrant Education Program (MEP) provides supplemental education and support services to eligible children through national funding. The purpose of the program is to ensure that all migrant students reach the academic standards and graduate with a high school diploma (or complete GED/HSE).

Thank you for answering the following questions. If your child is eligible for the Migrant Education Program, they may receive additional educational support. This information is strictly con dential.

In case I am/we are unable to be reached during an emergency, I/we hereby authorize a representative of the school, pursuant to the provisions of Family Code Section 6910, to act as any agent to consent to the giving of any and all medical, dental, hospital or surgical care to the above name Scholar.

I certify that all information above is accurate and that it is my responsibility to inform the school of any changes in residency, phone numbers or emergency release contacts.

The electronic signature below, and all of its related fields, replaces a handwritten signature on paper and is legally binding.

I affirm that the information provided is true, correct and complete, to the best of my knowledge and belief. This electronic signature below and its related fields are treated by the district like a handwritten signature on a paper form