New Student Enrollment Application New Student Enrollment Application 2021-2022 Step 1 of 250%Today's Date* MM slash DD slash YYYY Parent/Guardian Name* First Last Parent/Guardian Relationship to Student*MotherFatherLegal GuardianOtherParent/Guardian Primary Phone #*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent/Guardian Email* Enter Email Confirm Email Student 1 InformationStudent 1 Name* First Last Student 1 Gender*MaleFemaleStudent 1 Birthday* Month Day YearSchool Currently Attending*Grade entering Fall 2021 - Student 1*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeIs student a sibling of a returning student?* No YesName of Returning Student*Please read and check all of the following statements.* Select All My child meets the age requirement. My child has not been expelled from any school district. My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel. All the information contained in all the application or enrollment documents is accurate to the best of my knowledge.Enrollment in charter schools is available to all students, including students with disabilities, and information about disabilities will not be requested until a student has been admitted and enrolled in a charter school. For questions regarding the admission and enrollment of students with disabilities in charter schools, you may contact the D49 office or the LTA Registrar.Do you have another student to enroll?*NoYesStudent 2 InformationStudent 2 Name* First Last Student 2 Gender*MaleFemaleStudent 2 Birthday* Month Day YearSchool Currently Attending*Grade entering Fall 2021 - Student 2*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeIs student a sibling of a returning student?* No YesName of Returning Student*Please read and check all of the following statements.* Select All My child meets the age requirement. My child has not been expelled from any school district. My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel. All the information contained in all the application or enrollment documents is accurate to the best of my knowledge.Enrollment in charter schools is available to all students, including students with disabilities, and information about disabilities will not be requested until a student has been admitted and enrolled in a charter school. For questions regarding the admission and enrollment of students with disabilities in charter schools, you may contact the D49 office or the LTA Registrar.Do you have another student to enroll?*NoYesStudent 3 InformationStudent 3 Name* First Last Student 3 Gender*MaleFemaleStudent 3 Birthday* Month Day YearSchool Currently Attending*Grade entering Fall 2021 - Student 3*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeIs student a sibling of a returning student?* No YesName of Returning Student*Please read and check all of the following statements.* Select All My child meets the age requirement. My child has not been expelled from any school district. My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel. All the information contained in all the application or enrollment documents is accurate to the best of my knowledge.Enrollment in charter schools is available to all students, including students with disabilities, and information about disabilities will not be requested until a student has been admitted and enrolled in a charter school. For questions regarding the admission and enrollment of students with disabilities in charter schools, you may contact the D49 office or the LTA Registrar.Do you have another student to enroll?*NoYesStudent 4 InformationStudent 4 Name* First Last Student 4 Gender*MaleFemaleStudent 4 Birthday* Month Day YearSchool Currently Attending*Grade entering Fall 2021 - Student 4*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeIs student a sibling of a returning student?* No YesName of Returning Student*Please read and check all of the following statements.* Select All My child meets the age requirement. My child has not been expelled from any school district. My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel. All the information contained in all the application or enrollment documents is accurate to the best of my knowledge.Enrollment in charter schools is available to all students, including students with disabilities, and information about disabilities will not be requested until a student has been admitted and enrolled in a charter school. For questions regarding the admission and enrollment of students with disabilities in charter schools, you may contact the D49 office or the LTA Registrar.Do you have another student to enroll?*NoYesStudent 5 InformationStudent 5 Name* First Last Student 5 Gender*MaleFemaleStudent 5 Birthday* Month Day YearSchool Currently Attending*Grade entering Fall 2021 - Student 5*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeIs student a sibling of a returning student?* No YesName of Returning Student*Please read and check all of the following statements.* Select All My child meets the age requirement. My child has not been expelled from any school district. My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel. All the information contained in all the application or enrollment documents is accurate to the best of my knowledge.Enrollment in charter schools is available to all students, including students with disabilities, and information about disabilities will not be requested until a student has been admitted and enrolled in a charter school. For questions regarding the admission and enrollment of students with disabilities in charter schools, you may contact the D49 office or the LTA Registrar.Do you have another student to enroll?*NoYesStudent 6 InformationStudent 6 Name* First Last Student 6 Gender*MaleFemaleStudent 6 Birthday* Month Day YearSchool Currently Attending*Grade entering Fall 2021 - Student 6*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeIs student a sibling of a returning student?* No YesName of Returning Student*Please read and check all of the following statements.* Select All My child meets the age requirement. My child has not been expelled from any school district. My child has not engaged in behavior in another school that is detrimental to the welfare or safety of other students or school personnel. All the information contained in all the application or enrollment documents is accurate to the best of my knowledge.Enrollment in charter schools is available to all students, including students with disabilities, and information about disabilities will not be requested until a student has been admitted and enrolled in a charter school. For questions regarding the admission and enrollment of students with disabilities in charter schools, you may contact the D49 office or the LTA Registrar.
