Regstracion Paso 1 de 10 10% Name* Last First Student Grade in 2020-2021* Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Gender Female Male Birthdate*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthplace*State, Country District Required DemographicsPlease enter the information below regarding your student's ethnic backgroundIs your child Hispanic or Latino?* Yes No Which of the following groups describes your child's race?*Check all that apply American Indian or Alaskan Native Asian Black or African American Caucasian or White Native Hawaiian or other Pacific Islander Household InformationPLEASE NOTE: All legal parents/guardians must be listed. if rights have been altered, copies of court documents must be provided to the office immediately.Parent/Guardian # 1With whom students resides Last First Parent/Guardian # 1 | Relationship Mother Father Legal Guardian Parent/Guardian # 1 | Residence Address Dirección Dirección 2 Ciudad AlabamaAlaskaSamoa AmericanaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaIslas Marianas del NorteOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahIslas Vírgenes de los Estados UnidosVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Provincia Código Postal Parent/Guardian # 1 | Household Phone NumberParent/Guardian # 1 | Cell Phone NumberParent/Guardian # 1 | Work Phone NumberParent/Guardian # 1 | Email Address* Parent/Guardian # 2With whom students resides Last First Parent/Guardian # 2 | Relationship Mother Father Legal Guardian Same address as parent #1?If yes, click the box and the address will be added for you. If no, just leave it blank and fill in the proper address. Yes Parent/Guardian # 2 | Residence Address Dirección Dirección 2 Ciudad AlabamaAlaskaSamoa AmericanaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaIslas Marianas del NorteOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahIslas Vírgenes de los Estados UnidosVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Provincia Código Postal Parent/Guardian # 2 | Household Phone NumberParent/Guardian # 2 | Cell Phone NumberParent/Guardian # 2 | Work Phone NumberParent/Guardian # 2 | Email Address* Emergency Contact/Authorized Adult for Pick-upPlease list Adults OTHER than Parents/Guardians. List*Use the "+" symbol to add additional contactsLast Name, First NameRelationshipCell Phone Previous Schools AttendedPlease respond below regarding your student's previous schools attendedHave your student previously attended a different school?* Yes No Previous Schools AttendedPlease provide information about the last school your student attended. Name of School*Address of School Dirección Dirección 2 Ciudad AlabamaAlaskaSamoa AmericanaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaIslas Marianas del NorteOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahIslas Vírgenes de los Estados UnidosVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Provincia Código Postal Phone Number of SchoolStart and End dates of attending schoolExample: August, 2014-May, 2019Type of School Private/Parochial Public Online Charter Homeschooling Type of Instruction English Only Spanish Only Both (English & Spanish) Special Services - IEP ServicesPlease enter the information requested below regarding any specials services your student may require. Does your student currently have an Individualized Education Plan (IEP) to received special education services?* Yes No Please provide a description of IEP services that your student currently receives. A copy of your student's IEP is required for your student's registration to be considered complete.Upload Student IEPTamaño máximo de archivo: 50 MB. Special Services - Additional ServicesIs your student currently enrolled in a Gifted/Talented Program?* Yes No Is your student currently receiving any additional services?504 Plan or Counseling Services Yes No Please provide a description of the additional services that your student is receiving?Has your student been expelled, placed on extended suspension, or asked to leave any other school, in or out of state, in the past twelve (12) months? Yes No Expulsion Details | Your student was... Expelled Extended Suspension Asked to Leave Please provide dates of explusion, suspension, and/or being asked to leave the school Health InformationParents and guardians are responsible for providing full details on any medical condition noted to the school nurse. Students requiring medication (prescription or non-prescription) during school hours MUST have a written physician order and written parent consent.Does your child have health concerns?* Yes No Please check any existing health conditions Allergies Asthma Attention Deficit Disorder (ADD) Bowel/Bladder Diabetes Migranes Emotional/Behavioral Heart Speech Concerns Seizures Frequent infection Bone Joint Disease Headaches Other OtherDoes your student use any physical medical aids Glasses Hearing Aids Prothesis Other Other Parent ConsentMedia Release*At various times during the year, SOAR will include the children in pictures/videos for newsletters and promotional purposes. Photographs/videos taken may appear with/without names in printed publications or on the school's website. This release permits SOAR to use the following items for publication on the school website in school brochures, and in other school promotional materials. We do understand that any footage will become the property of the school or media and used by SOAR for school-related, promotional, and/or newsworthy purposes. Please indicate your response to the following statement below: I DO/DO NOT authorize my child/children to be filmed/videotaped and the video(s) or photograph(s) to be published to the school website, school brochures, news shows, newspapers and in other promotional materials. I do consent I do NOT consent Fieldwork Permission*Each year classes may participate in fieldwork that requires students to leave the building for several hours. This Fieldwork Permission shall remain in effect during the entire time my child attends. I give permission for my child to participate in fieldwork I do not give permission Email Distribution ListSOAR uses email to communicate with our families. Our school may set up distribution lists to inform our parents of community and school events, classroom newsletters, and any other school-related information. SOAR will not sell, distribute, or publish any of your details. Please indicate your response to the following statement below: I DO/DO NOT want my email address added to the school's email distribution lists. I consent I do NOT consent (I understand that by opting out, I will not receive school information.) Remote Learning/Video Conferencing ReleaseAs part of our remote learning program, SOAR teachers work very hard to keep our students engaged and supported. We will be using school district approved tools such as Google, Microsoft, etc. to video conference with students. Video conferences will not be publicly available, only accessible on our internal technology services, and not available outside of our organization. This release permits SOAR to use video conferencing tools with your child. Please indicate your response to the following statement below: I DO authorize my child to participate in live video conferences. I DO NOT authorize my child/children to participate in live video conferences and understand that I will be required to submit additional school work in place of a video conference activity. Family Handbook AcknowledgementI hereby acknowledge that I have reviewed the Family Handbook at: https://soarcharter.wpengine.com/about/ I agree to read and discuss the policies within the handbook with my child. I understand that if I have any questions about the policies contained in the handbook, I should ask my child’s teacher first, and then seek any additional support from a SOAR Administrator, if needed. I agree to work in partnership with all SOAR staff with the expectations of our charter contract, and that if any breach of these agreements occurs, a conference will be arranged. I understand that this handbook is the most current at this time and overrides all previous policies, issued by SOAR. Further, I understand that school policies are subject to modification at any time, at the sole discretion of SOAR, with or without notice to me. Student Dismissal InstructionsStudent will be dismissed according to the instructions provided here. Any deviation from the in-place dismissal instructions must be completed through the SOAR App by noon (lunch time) of the same day. In addition, students who have already boarded the school bus will not be removed from the bus for pick-up. Parent/guardians will be asked to meet their student at their bus stop for pick-up.Monday* Leading Edge After School Care (Your student need to be registered to be able to attend) Pick-up by authorized Person School Bus ( Bus pass required) Walk/Bike Home Tuesday* Leading Edge After School Care (Your student need to be registered to be able to attend) Pick-up by authorized Person School Bus ( Bus pass required) Walk/Bike Home Wednesday* Leading Edge After School Care (Your student need to be registered to be able to attend) Pick-up by authorized Person School Bus ( Bus pass required) Walk/Bike Home Thursday* Leading Edge After School Care (Your student need to be registered to be able to attend) Pick-up by authorized Person School Bus ( Bus pass required) Walk/Bike Home Friday* Leading Edge After School Care (Your student need to be registered to be able to attend) Pick-up by authorized Person School Bus ( Bus pass required) Walk/Bike Home Parent/Guardian ConfirmationParent/Guardian Digital SignatureEmail Date CAPTCHA Δ
