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.
Email address *
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. *
I am declining enrollment for 2021-2022. I understand that a spot will not be reserved for the 2021-2022 school year *
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 2021-2022: *
Special Education Category and Service Type (if applicable):
English, as a Second Language Learner: Yes / No *
Parent/Guardian Information
My address HAS changed since my student’s original enrollment date: *
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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