The Liberty School - Enrollment Application

ENROLLMENT APPLICATION

(2026 - 2027)
1. APPLICANT'S INFORMATION
Child's Full Name
Child's Date of Birth

MonthDayYear
Child's Home Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Does your child speak any foreign languages? If yes, which languages?
2. PARENT/ GUARDIAN INFORMATION
Parent/ Guardian name
Phone Number
Email Address
Occupation
3. PARENT/ GUARDIAN INFORMATION
Parent/ Guardian name
Phone Number
Email Address
Occupation
Do both parents live together? If no, please provide home address
4. ADDITIONAL FAMILY INFORMATION

We would love to learn more about children's home environment to connect better with them. The answers here are optional.
Parental Status
Sibling Information (Name & Age)
For your child's safety, please list anyone (other than parents/guardians) who has permission to pick them up
5. DETAIL INFORMATION
Please tell us about your child's personality and unique qualities
What are your child’s favorite ways to play and explore
What are your child's favorite books?
What does a typical day look like for your child? (Wake up time, Nap time, Play time, Meals, and Bedtime)
Has your child attended another program before? If yes, please share why you're looking for a new home for them.
What are your child’s favorite foods and dietary restrictions? How do they like to be helped during mealtime?
Are there any allergies or medical details we should know about to take the best care of your child?
Has your child received any of the following support services, either currently or in the past? Please check all that apply and provide details where relevant
If you checked any boxes above, please briefly describe the services and the reason for support (e.g., diagnosis, areas of focus, duration):
Are there things that may make your child anxious or scared?
6. ENROLLMENT OPTIONS
Enrollment Type
Expected Start Date

MonthDayYear
If you are enrolling for the 2026–2027 school year, which days would you like your child to attend?
If you are enrolling for the 2026–2027 school year, which schedule would you like your child to attend?
Signature Text
Should be Empty:

ENROLLMENT APPLICATION

1. APPLICANT'S INFORMATION

2. PARENT/ GUARDIAN INFORMATION

3. PARENT/ GUARDIAN INFORMATION

4. ADDITIONAL FAMILY INFORMATION

5. DETAIL INFORMATION

6. ENROLLMENT OPTIONS