Creativity CoLaboratory Charter School Enrollment Form

Creativity CoLaboratory Enrollment Form

Student Information
Please complete this Enrollment Form for each student.
Student First Name*
Student Last Name*
Birthdate*
MM
DD
YYYY
Grade*
2019-2020 School Year
T-Shirt Size*
Adult Sizes XS - L
Street Address*
Street Address Address Line 2 City State ZIP Code
Mailing Address (if different from Street Address)
Street Address Address Line 2 City State ZIP Code
Current School*
Home School District*
Gender*
What is your preferred method of transportation for your student?*
Race/Ethnicity*
- White
- Black
- Hispanic
- Indian/Alaskan
- Asian/Pacific Islander
Current Meal Status*
Does the Student have an IEP?*
Does the Student receive ESL, ELL, or Bilingual Services at current school?*
Parent/Guardian Submitting this Form
Parent/Guardian First Name*
Parent/Guardian Last Name*
Relationship to Student*
Phone*
Email*
Second Parent/Guardian
2nd Parent/Guardian First Name
2nd Parent/Guardian Last Name
Relationship to Student*
2nd Phone
2nd Email
Media Release
By submitting this form, I, the above listed Parent/Guardian with legal custody, authorize Creativity CoLaboratory Charter School and its agents to have and use video, audio recording, or images of the student described, or of the student’s performances, artwork, literary work or letters to Creativity CoLaboratory Charter School, as may be needed for its records, public relations, or promotional materials.
Enrollment Agreement
By submitting this form, I, the above listed Parent/Guardian with legal custody, confirm that my child is enrolled at Creativity CoLaboratory Charter School for the 2019-2020 school year.

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Creativity CoLaboratory Enrollment Form

Student Information

Parent/Guardian Submitting this Form

Second Parent/Guardian

Media Release

Enrollment Agreement