Pre-K Application – Alpha Academy

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Pre- K Admissions Application
Apply on a computer, tablet or smartphone. You can also call or email to schedule an appointment to apply in person. To apply for the upcoming school year, your child should be age four on or before August 31.

Email ( Please Enter Your Email Address to Begin The Pre-K Admissions Process )^*
Student Information
Today's Date^*
Student First Name^*
Student Middle Name
Student Last Name^*
Child lives with (name)?^*
Relationship ?
Child’s Gender^*
Date Of Birth^*
Do you have other children attending Alpha Academy?^*
If yes, please list the student(s) name and grade level
Does the child have an IEP, 504 Plan, PEP, or any physical or mental disabilities that may require special services?
If yes, please explain
Parent / Guardian Information
Mother/Guardian First Name^*
Mother/Guardian Last Name^*
Mother / Guardian Middle Initial^*
Mother / Guardian DOB^*
Mother / Guardian Mailing Address^*
Mother / Guardian City^*
Mother / Guardian State^*
Mother / Guardian Zip Code^*
Mother / Guardian Employer^*
Mother / Guardian Work Address
Mother / Guardian Home Phone Number^*
Mother / Guardian Cell Phone Number^*
Mother / Guardian Email Address^*
Mother / Guardian SSN^*
Mother / Guardian Driver License #^*
Mother / Guardian Driver's License State Of Issue^*
Marital Status^*
Father /Guardian First Name^*
Father /Guardian Middle Initial
Father / Guardian Last Name^*
Father / Guardian DOB^*
Father / Guardian Mailing Address
Father / Guardian City
Father / Guardian State
Father / Guardian Zip Code
Father / Guardian Employer
Father / Guardian Work Address^*
Father / Guardian Home Phone Number
Father / Guardian Cell Phone Number
Father / Guardian Email Address
Father / Guardian SSN
Father / Guardian Driver License #
Father / Guardian Driver's License State Of Issue
Authorized Release
Your child will only be released to the persons listed above and those authorized below. Pre-Kindergarten students are allowed to ride the buses. If your child is a car rider and you are late for pickup, your child will be sent to Aftercare (fees applicable). If the person below is also to be used as an emergency contact, please check the box next to EMERGENCY CONTACT. **Necessary documentation such as custody papers and legal guardianship should be attached if a parent is not allowed to pick up the child.

Relation
Name
Contact #
Cell / Work#
Address
Relation
Name
Contact #
Cell / Work#
Address
Relation
Name
Contact #
Cell / Work#
Address
Student Medical Information

Pre-K Admissions

Why should children attend pre-kindergarten?