• Please complete the following in its entirety.

    1) Student Information
    2) Parent/Guardian Information
    3) Emergency Contacts
    4) Student Health Information - page 1
    5) Student Health Information - page 2
    6)Medication Form
    7) Strengths - Challenges - Strategies
    8) Student Interests
    9) Student Documents
    10) Student Records Release
    11) Media Opt in/out Form
    12) Sign and Submit

  • Student Information

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  • Parent/Guardian Information

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  • Emergency Contacts

  • By submission of this form, ALL people listed below will have permission to pick up my child from school (photo ID required)

    In the event of serious illness or injury occurring within the jurisdiction of AZ Aspire Academy, the school will first attempt to reach you and/or your physician. As parent/guardian, you consent to have your child receive first aid by facility staff and, if necessary, be transported to receive emergency care. You will be responsible for all charges not covered by insurance. You consent for the emergency contact person(s) I've provided to ACT ON MY BEHALF until I am available. I agree to review and update this information whenever a change occurs.

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  • Student Health



  • Student Health Continued

  • Medication Permission

  • Please complete and submit the Student Health and Medication Form below.

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  • Strengths - Challenges - Strategies

    Please describe for each area of your child's development.
  • Student Interests

  • Upload Student Documents

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  • *In accordance with Arizona State Law, students must have proof of all required immunizations, or a valid exemption, in order to attend school. The immunization record must include the child's name, date of birth, and each vaccine dose must include the date and the name of the physician or health agency who administered the vaccine.

  • Student Records Release

  • RELEASE OF EDUCATION RECORDS AUTHORIZATION FOR USE AND/OR DISCLOSURE OF EDUCATION RECORDS
    The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student education records created or maintained by a school that receives federal funds. Completion of this document authorizes the disclosure and use of education records as described below. Completion also authorizes you to discuss this information with representatives of the organization named below entitled to receive said information.

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  •  USE AND DISCLOSURE INFORMATION:

  • The education records described above shall be delivered to:
    Az Aspire Academy; Sonia Gonzalez; ATTN: Registrar
    2150 E. Southern
    Tempe, AZ 85282
    480-420-6630

  • APPROVAL:
    My authorization for the use, disclosure and/or redisclosure of the information identified above is voluntary. I understand that the information to be disclosed or redisclosed may include individually identifiable health information. I understand that, upon my request, I am entitled to a signed copy of this authorization form and the records to be disclosed. Unless sooner terminated in writing, this release shall remain effective for 1 year from the date signed below. A copy of this release shall be as sufficient to authorize the release of information identified above as the original signed by me.

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  • Media Opt in/out Form

  • Part of the communication efforts of AZ Aspire Academy is to let the general public know about the educational activities occurring within the walls of our schools. As part of that effort, we also occasionally invite reporters to the schools to cover educational activities and events. The main focus of education, of course, is students, and during the vast majority of time, we and the media will want to focus on students as the subject of stories. For that reason, we are seeking your permission ahead of time for your student(s) to be interviewed, photographed or videotaped in the event such an opportunity surfaces during the school year. This will include the use of that material on the school website and social media managed by AZ Aspire Academy. Please note, AZ Aspire Academy policy prevents use of a child’s full name in association with their photo or video in any form of use.
    If you DO NOT want your student to be involved in one or all of these instances, please fill out this form. Please note, your permission will be assumed if the school does not receive this form.

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  • Sign and Submit

  • You are submitting the following completed forms to AZ Aspire Academy:
    1) Student Information
    2) Parent/Guardian Information
    3) Emergency Contacts
    4) Student Health Information - page 1
    5) Student Health Information - page 2
    6)Medication Form
    7) Strengths - Challenges - Strategies
    8) Student Interests
    9) Student Documents
    10) Student Records Release
    11) Media Opt in/out Form
    12) Sign and Submit
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