No Widget Added
Please add some widget in Offcanvs Sidebar
Shopping cart
Home
About Us
Our Process
All Courses
Resources
Contact Us
Home
About Us
Our Process
All Courses
Resources
Contact Us
0
0
CONTACT US
School Registration Form
Home
School Registration Form
Step
1
of
7
14%
Student Information
Full Name
(Required)
First
Date of Birth
(Required)
MM slash DD slash YYYY
Age
(Required)
Gender
(Required)
Male
Female
Other
Grade Entering
(Required)
Primary Language
(Required)
Previous School Attended
(Required)
Reason for Transfer (if applicable):
Family Information
Parent/Guardian (1)
Name
(Required)
First
Relationship to Student
(Required)
Phone (Cell)
(Required)
Email
(Required)
Address
(Required)
Employer
Work Phone
Parent/Guardian (2)
Name
First
Relationship to Student
Phone (Cell)
Email
Address (if different)
Employer
Work Phone
Parental Relationship Status
(Required)
Parents are married
Separated
Divorced
Single Parent
Other
Other
(Required)
Emergency Contacts (other than parents)
Contact (1)
Name
(Required)
First
Relationship
(Required)
Phone
(Required)
Contact (2)
Name
First
Relationship
Phone
Medical Information
Physician Name
Phone
Insurance Provider
Policy #
Allergies (food, medication, environmental)
Medical Conditions or Diagnoses
Medications (taken during school hours or at home)
Is your child immunized according to state requirements?
(Required)
Yes
No
Does your child have an IEP or 504 Plan?
(Required)
Yes
No
Pick-Up Authorization
Persons authorized to pick up your child from school (ID required)
Contact (1)
Name
(Required)
First
Phone
(Required)
Contact (2)
Name
First
Phone
Media & Photo Consent
(Required)
I give permission for my child’s photo/video to be used in school marketing, website, and publications.
I do NOT give permission.
Field Trip Permission
(Required)
I give permission for my child to participate in school-supervised field trips.
I do NOT give permission.
School Policies Agreement
Please check each to confirm acknowledgment and agreement:
Attendance Policy
Attendance Policy
(Required)
Attendance Policy
– I understand that regular attendance is crucial for academic success and agree to follow school procedures for absences and tardiness.
Purpose
Regular attendance is essential for academic success. Students are expected to attend all scheduled classes and arrive on time.
Policy Details
A parent/guardian must notify the school by 9:00 AM if a student is absent.
Absences due to illness, medical appointments, or family emergencies are considered
excused
with a written note or call.
All other absences, including vacations during the school year, are considered
unexcused
unless approved in advance.
After
3 unexcused absences,
parents will receive a written warning.
More than
10 absences (excused or unexcused)
in a semester may result in academic review or retention.
Tardiness of more than 15 minutes will be recorded as a half-day absence.
Discipline Policy
Discipline Policy
(Required)
Discipline Policy
– I have read and agree to follow the school’s code of conduct and discipline policies.
Purpose
 To ensure a safe, respectful, and productive learning environment for all students.
Code of Conduct
Students must treat peers, staff, and school property with respect.
Bullying, harassment, physical aggression, or discriminatory behavior is not tolerated.
Use of profanity, defiance, or classroom disruption will be addressed immediately.
Possession of drugs, weapons, or harmful materials is grounds for immediate suspension or expulsion.
Consequences
Verbal Warning
Parent Notification
Written Referral
In-School Suspension
Suspension/Expulsion (based on severity)
Positive behavior will be recognized through praise, rewards, and certificates.
Dress Code
Dress Code
(Required)
Dress Code
– I understand and agree to follow the school’s dress code policy.
Purpose
 To promote professionalism, unity, and minimal distractions during school hours.
Expectations
Students must wear clean, neat, modest clothing appropriate for the school setting.
No offensive language/images on clothing.
No exposed undergarments, cropped tops, or short shorts.
Closed-toed shoes must be worn at all times for safety.
Hats, hoods, or sunglasses must be removed indoors unless for religious reasons.
Violations:
 Students in violation may be asked to change or call home for a change of clothes.
Technology Use Policy
Technology Use Policy
(Required)
Technology Use Policy
– I agree to abide by the acceptable use policy for any school technology or internet use.
Purpose
 To ensure safe, ethical, and responsible use of technology.
Expectations
Students may only use school technology for educational purposes.
No access to inappropriate websites, games, or content.
Personal devices (phones/tablets) must remain off and stored unless used with permission.
Cyberbullying or digital harassment will result in immediate disciplinary action.
Consequences
 Misuse of technology will result in loss of privileges and possible disciplinary measures.
Health & Safety Policy
Health & Safety Policy
(Required)
Health & Safety Policy
– I understand and agree to comply with all health requirements including immunizations, illness protocols, and medication administration.
Purpose:
 To protect the health of all students and staff within the school environment.
General Guidelines:
Students showing symptoms of illness (fever, vomiting, contagious rash, etc.) must stay home for 24 hours after symptoms end.
A doctor’s note is required for return after some illnesses or extended absences.
All medication administered during school hours must be provided in the original container and accompanied by a signed
Medication Authorization Form
.
School staff are not permitted to diagnose or treat medical conditions.
Emergencies:
In case of serious illness or injury, emergency services will be contacted, and parents notified immediately.
Students must have an updated emergency contact list on file.
Immunizations:
 All students must meet state immunization requirements or have a valid exemption form on file.
Tuition and Fees
Tuition and Fees
(Required)
Tuition and Fees
– I understand the tuition agreement, due dates, late fees, and payment responsibilities.
Purpose
 To ensure transparency and accountability in the financial relationship between school and families.
Tuition Payment
Tuition is billed [monthly/quarterly/annually] and due on the [1st/15th] of each month.
Payment methods: cash, check, credit/debit, ACH, or online portal.
Late Payments
A late fee of $25 will be applied after 5 business days past due.
After 30 days of non-payment, student participation may be restricted.
Accounts over 60 days past due may result in withdrawal.
Fees
Registration Fee: $ 100
Book/Materials Fee: $ 50
Field Trips, Clubs, and Extracurriculars may carry additional optional fees.
Refunds
 No tuition refunds for absences, holidays, or expulsion due to policy violations.
Withdrawal Policy
Withdrawal Policy
(Required)
Withdrawal Policy
– I understand that written notice is required for withdrawal and tuition obligations may apply based on the date of notice.
Purpose
 To provide a clear and structured process for student withdrawal.
Procedures
Withdrawal notice must be submitted in
writing
at least
2 weeks in advance
.
The school must be notified if transferring to another institution (name and contact of new school preferred).
All outstanding tuition, fees, and books must be returned before records are released.
Tuition Responsibility
Tuition will be prorated based on the withdrawal date if proper notice is given.
No refunds are issued for withdrawal after the 15th day of the month (specify policy).
Parent/Guardian Agreement
I certify that the information provided in this registration form is true and complete to the best of my knowledge. I have reviewed and agree to abide by all school policies and procedures.
Parent/Guardian Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
School Administrator
School Administrator Signature (upon acceptance):
Date
MM slash DD slash YYYY
Your Cart Is Ready
Proceed to Checkout
Keep Browsing
