YOUR CHILD MUST BE 5 YEARS OF AGE BY SEPTEMBER 1ST, 2020 TO ENROLL IN KINDERGARTEN. WAIVERS WILL ALLOW STUDENTS TO ENROLL IF AGE 5 BY DECEMBER 1ST, 2020. YOUR CHILD MUST BE 4 YEARS OF AGE BY SEPTEMBER 1ST, 2020 TO ENROLL IN PRE-K*

Please Click If You Have Acknowledged This Statement

Grade Entering In September 2020

Military Family?*

Yes

No

Student Name*

First

Last

Middle

Please indicate the preferred phone number for school closing notices *

Family Information - Parent/Guardian Name*

First

Last

Middle

Address*

Street Address Line 2 City State Postal / Zip Code

Phone*

Email

Family Information - 2nd Parent/Guardian Name

First

Last

Middle

Address(1)

Street Address Line 2 City State Postal / Zip Code

Phone(1)

Email(1)

Student Residence Status (please click the best answer): *

If transitional housing, please list reason.

Type your name(s) (first and last of parent(s)/guardian(s)) if you confirm that the information given is true to the best of your knowledge. You also agree failure to report information may result in your child being withdrawn from the Academy. To add, you agree to support the mission, vision, and policies of Charlton Heston Academy. *

2020-2021 Current Student Enrollment