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Enrollment InquiryÂ
Thank you for your interest in South Walton Academy! Please fill out the following form, and we will be happy to assist your family.
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Email
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Your email
Programs and/or Therapies of Interest Select all that apply
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School
Exceptional Needs School Program
Summer Program
ABA Therapy
Speech Therapy
Occupational Therapy
Other:
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Child's Name
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Your answer
Age
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Grade
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Infant/Toddler
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K
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Date of Birth
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DD
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Child's Gender
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Accommodations
None
504
IEP
Speech Therapy
Occupational Therapy
Behavioral Therapy
Other:
Sibling 1
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Sibling 1 Age
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Sibling 1 Date of Birth
MM
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DD
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YYYY
Sibling 1 Gender
Male
Female
Clear selection
Sibling 1 Accommodations
None
504
IEP
Speech Therapy
Occupational Therapy
Behavioral Therapy
Other:
Sibling 2 Name
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Sibling 2 Age
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>1
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2
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Sibling 2 Date of Birth
MM
/
DD
/
YYYY
Sibling 2 Gender
Male
Female
Clear selection
Sibling 2 Accommodations
None
504
IEP
Speech Therapy
Occupational Therapy
Behavioral Therapy
Other:
Parent/Guardian Name
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Parent 2/Guardian's Name
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Physical Address, City, State, Zip
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Primary Phone #
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Secondary Phone #
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