Intent to Enroll 2021-2022 School Year
Please complete this form to secure your child's enrollment for the upcoming 2021-2022 school year. Complete one form for each child who will be attending AAEM in the 2021-2022 school year.
* Required
Email address
*
Your 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 2021-2022 enrollment.
*
Yes
N/A
I am declining enrollment for 2021-2022. I understand that a spot will not be reserved for the 2021-2022 school year
*
Yes
N/A
If declining enrollment, please indicate a reason below:
Your answer
Current Homeroom Teacher (1st Period for Middle School)
Your answer
Student First Name
*
Your answer
Student Middle Name
*
Your answer
Student Last Name
*
Your answer
Date of Birth: (mm/dd/yyyy)
*
Your answer
Grade level my child is entering for 2021-2022:
*
K
1
2
3
4
5
6
7
8
Special Education Category and Service Type (if applicable):
Your answer
English, as a Second Language Learner: Yes / No
*
Yes
No
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
Your answer
Street Address (include apartment number if applies)
Your answer
Phone Number:
Your answer
Electronic Parent/Guardian Signature (please type below):
*
Your answer
A copy of your responses will be emailed to the address you provided.
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