Ranch Academy / Day Student Enrollment
Please be advised that this is a Texas Education Agency and Federally required legal government document which MUST be filled out in full by the PARENT or GUARDIAN. Intentional attempts to defraud the information contained within this document or any misrepresentation of a PARENT or GUARDIAN will result in legal actions being taken against you. If you have any questions or problems please contact our Registrar at 903.939.8105

THIS FORM IS FOR THE 2020-2021 SCHOOL YEAR
Student General Information
First Name - Student *
Must be legal name as printed on Birth Certificate.
Middle Name - Student
Last Name - Student *
Physical Street Address - Student *
Where student sleeps most nights.
City - Student *
State - Student *
Zip Code - Student *
5-digits
Date of Birth *
MM
/
DD
/
YYYY
Social Security Number *
###-##-####
Gender *
Student Contact Information
Due to COVID the following information is extremely important that you enter the most direct contact information of your students. In most cases this will be the STUDENTS email address and cell phone number. If your student does not have email or a personal cell then enter the information of who is in most direct contact with them.
Student Email *
Student Cell Phone *
###-###-####
Will the student be driving to/from our campus? *
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