Intent to Enroll 2022-2023 School Year

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Please complete this form to secure your child's enrollment for the upcoming 2022-2023 school year. Complete one form for each child who will be attending AAEM in the 2022-2023 school year.

Email *

Please select ONE of the following options below:

I am submitting an intent to enroll. I understand that for my currently enrolled AAEM student, this form will serve as the re-enrollment document. No other forms will be required for 2022-2023 enrollment. *

Yes

N/A

I am declining enrollment for 2022-2023. I understand that a spot will not be reserved for the 2022-2023 school year. *

Yes

N/A

If declining enrollment, please indicate a reason below:

Current Homeroom Teacher (1st Period for Middle School)

Student First Name *

Student Middle Name *

Student Last Name *

Date of Birth: (mm/dd/yyyy) *

Grade level my child is entering for 2022-2023: *

Special Education Category and Service Type (if applicable):

English, as a Second Language Learner: Yes / No *

Yes

Parent/Guardian Information

My address HAS changed since my student’s original enrollment date: *

Yes, my address has changed (please provide an update below)

No, my address has not changed.

If your address HAS changed, please provide a new proof of residency and indicate the new address below:

Please email the front office at office@plcaaem.org or submit in person during office hours.

Name: First, Middle, Last

Street Address (include apartment number if applies)

Phone Number:

Electronic Parent/Guardian Signature (please type below): *

A copy of your responses will be emailed to the address you provided.

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