Student Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Birth Date *

MM

DD

YYYY

Sex

Male

Female

Prefer Not to Say

Which Grade are you Applying for? *

Future Kindergarten students must turn 5 before September 2, 2024

Kindergarten Half Day

Kindergarten Full Day

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Parent/Guardian Name *

Please list the guardian(s) with whom the student resides

First Name

Last Name

Phone

(###)

###

####

Parent/Guardian 2 Name

First Name

Last Name

Phone

(###)

###

####

How did you hear about us?

Another Parent/Word of Mouth

Facebook

Instagram

Web Search

Does your child receive academic support? *

Yes

No

Select all that apply:

Reading

Writing

Math

Other

Does your child have an Individualized Education Plan? *

Yes

No

If applicable, select services that are included in your child's IEP:

OT

PT

Speech

Soldier Hollow Charter School is dependent on parental participation. Please indicate your participation interests by checking any of the following:

Lunch/Recess Supervision

Field Trips

Ski Volunteer

SHCS Olympics

Fundraising

Substitute Teaching

Trust Land Council

Grant Writing

Classroom Help

Environmental Education Week

Art/Drama

Morning Supervision

Field Day

PTO