Enrollment Application 2023-2024

Please complete this form to apply to Liberty Tree Academy for the 2023-2024 school year.

Submitting this form does not guarantee a spot for your student(s).

The enrollment policy can be found at the bottom of the Admissions page for more information.

Please complete all applicable fields. Incomplete applications will not be processed.

2023-2024 Enrollment Application

Parent Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent Phone

Parent Email

Student 1

Name

First Last

Birthday

MM slash DD slash YYYY

Male

Female

Grade Entering Fall 2023

School Currently Attending

City and State of School Currently Attending

Does student have a SIBLING currently enrolled at LTA?

Yes

Name of SIBLING Enrolled at LTA

First Last

Please read and validate the following statements:

My child meets the age requirement.

I agree

I disagree

My child has not been expelled from any school district.

I agree

I disagree

My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel.

I agree

I disagree

Falsification of any part of this document may result in denial of enrollment.

Do you have another student to enroll?

YES

Student 2

Name

First Last

Birthday

MM slash DD slash YYYY

Male

Female

Grade Entering Fall 2023

School Currently Attending

City and State of School Currently Attending

Please read and validate the following statements:

My child meets the age requirement.

I agree

I disagree

My child has not been expelled from any school district.

I agree

I disagree

My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel.

I agree

I disagree

Falsification of any part of this document may result in denial of enrollment.

Do you have another student to enroll?

YES

Student 3

Name

First Last

Birthday

MM slash DD slash YYYY

Male

Female

Grade Entering Fall 2023

School Currently Attending

City and State of School Currently Attending

Please read and validate the following statements:

My child meets the age requirement.

I agree

I disagree

My child has not been expelled from any school district.

I agree

I disagree

My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel.

I agree

I disagree

Falsification of any part of this document may result in denial of enrollment.

Do you have another student to enroll?

YES

Student 4

Name

First Last

Birthday

MM slash DD slash YYYY

Male

Female

Grade Entering Fall 2023

School Currently Attending

City and State of School Currently Attending

Please read and validate the following statements:

My child meets the age requirement.

I agree

I disagree

My child has not been expelled from any school district.

I agree

I disagree

My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel.

I agree

I disagree

Falsification of any part of this document may result in denial of enrollment.

Do you have another student to enroll?

YES

Student 5

Name

First Last

Birthday

MM slash DD slash YYYY

Male

Female

Grade Entering Fall 2023

School Currently Attending

City and State of School Currently Attending

Please read and validate the following statements:

My child meets the age requirement.

I agree

I disagree

My child has not been expelled from any school district.

I agree

I disagree

My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel.

I agree

I disagree

Falsification of any part of this document may result in denial of enrollment.

Do you have another student to enroll?

YES

Student 6

Name

First Last

Birthday

MM slash DD slash YYYY

Male

Female

Grade Entering Fall 2023

School Currently Attending

City and State of School Currently Attending

Please read and validate the following statements:

My child meets the age requirement.

I agree

I disagree

My child has not been expelled from any school district.

I agree

I disagree

My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel.

I agree

I disagree

Falsification of any part of this document may result in denial of enrollment.