Scholar Enrollment Request 2018 - 2019

Parker, Colorado

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
Child's Current School
*What grade is your child enrolling in 2018/2019?

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 is 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, 2018 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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