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Enrollment is subject to lottery procedures.
Please complete a separate form for each child.

I am interested in the following Reid Traditional School:

Student Information

Please enter the student's name in the boxes below (LAST, First, Middle):

Age on 8/31/16 (see note below): and Birthdate:
School Grade Level 2015-16: Applying For 2016-17 Grade:

Special Kindergarten Notes:

Kindergarten students must be five years old on or before August 31st of the year for which they are applying. If your child has already attended kindergarten at age 4 at another school, and you now wish to enroll him or her in our kindergarten at age 5, you may be charged tuition.
You may choose Morning or Full Day Kindergarten at enrollment and change your preference at any time.
Morning Kindergarten is free; tuition is charged for Full Day Kindergarten.

Parent or Guardian Information

Name of person submitting form:
How are you related to the student?
What email address may we use to contact you?
What phone number may we use to reach you?
Mother's Name: Father's Name:
Optional Alternate Contact Information:

Additional information

What is the name of the child's current or previous school?
What is the primary language spoken in your home?
Has the child ever been recommended for, tested for, or qualified for Special Education Services?
What type? What school?
Does the child have an IEP (Individualized Education Program)?
Does the child have a 504 Plan?
Has the child been expelled from another educational institution?
Is the child in the process of being expelled from, or under long term suspension from, another educational institution?

Students with a brother or sister currently enrolled at the same campus receive Priority Status on the Preschool Waiting List.
Does the student have a brother or sister currently enrolled at Valley Academy?
Are you completing another application for a brother or sister?
If yes to either question above, please list the names and grades of those siblings:

Legal Custody:
If other, please explain:

Please tell us how you heard about Reid Traditional Schools.
Internet SearchGreatSchools.orgBillboardMagazine
Other Referral Source:
Friend or Relative:

Questions or comments?

Enter the code below:

Valley Academy is a tuition-free public charter school.

Copyright © Valley Academy
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