Application | Schoolhouse Academy

Application for New Student(s)

Child’s Name: (Last)

Child’s Name: (First)

Child’s Age:

Date of Birth:

Gender

Current Grade Attending:

Grade Entering in September 2024

Enrolling an additional child?

Yes

2nd Child’s Name: (Last)

2nd Child’s Name: (First)

Child’s Age:

Date of Birth:

Gender

Current Grade Attending:

Grade Entering in September 2024

Enrolling a 3rd child?

Yes

3rd Child’s Name: (Last)

3rd Child’s Name: (First)

Child’s Age:

Date of Birth:

Gender

Current Grade Attending:

Grade Entering in September 2024

Enrolling a 4th child?

Yes

4th Child’s Name: (Last)

4th Child’s Name: (First)

Child’s Age:

Date of Birth:

Gender

Current Grade Attending:

Grade Entering in September 2024

Residing Main Address: (Street)

City:

State:

Zip:

Are you interested in busing for your child

Yes