Colorado Homeschool Enrichment Program

Scholar Enrollment Request 2021-2022

    Please fill out one request for each child.


    PLEASE FILL OUT THE PARENT INFORMATION BELOW

    *First Name
    *Last Name
    * Email
    Cell Phone
    Home Phone
    *Address
    Address 2
    City
    State
    Zip

    PLEASE FILL OUT THE STUDENT INFORMATION BELOW
    *First
    Middle
    *Last
    *Date of Birth (mm/dd/yy)
    *Gender
    Does your child currently attend a Douglas County school?

    Name of Child's Current School or Homeschool
    *What grade is your child enrolling in 2021/2022?

    Has your child received any health or educational services?

    If Yes, check all that apply. Must chose at least one option.

    ELLIEPALPRTI504
    Please list "Other" services.

    MUST PROVIDE DOCUMENTATION OF STUDENT SPECIAL SERVICES WITH MAIL-IN DOCUMENTS.

    Is this child one of multiple births?

    How many same-age siblings?

    Preference for Teacher?
    Same TeacherDifferent TeacherNo Preference

    Is your child repeating or accelerating a grade?

    Is your child repeating a grade or accelerating a grade?
    What is your child's current grade?


    PLEASE FILL OUT FAMILY INFORMATION BELOW
    Does this child have a sibling attending Leman Academy?

    Please list sibling(s) name(s) and grade level(s).


    SIGNATURE

    Check boxes below are required.

    I understand that submitting this request indicates that I am interested in my child enrolling at Leman Academy, I will be contacted through the email address I have provided above if an opening becomes available. If I accept the opening for my child, I understand that Leman Academy will become my neighborhood school and my child's enrollment will be reflected in the DCSD student data information system, Infinite Campus.

    I understand that my child must be potty trained and five years old by October 1, 2021 to begin Kindergarten.

    I understand that If my child has either a 504 plan or an Individualized Education Plan (IEP), then the Douglas County School District is required to review that documentation before Leman Academy of Excellence can make a final offer of enrollment to ensure that LAE can provide a Free Appropriate Public Education (FAPE). Your child’s spot at Leman Academy of Excellence will be held until DCSD has reviewed your documentation.

    Completing the below acts as an electronic signature verifying the above student information is correct.

    *Parent/Guardian Signature
    Signature Date

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