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TAOO Enrollment Form
2024-2025 School Year
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* Indicates required question
Email
*
Your email
What is the student's legal first name?
*
Your answer
What is the student's middle name?
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Your answer
What is the student's legal last name?
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Your answer
What is the student's date of birth?
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MM
/
DD
/
YYYY
What is the student's birth place (city, state or country)?
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Your answer
What is the student's gender?
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Male
Female
Other:
What is the student's race? Check all that apply.
*
White
Black or African American
Asian
American Indian or Alaskan Native
Native Hawaiian / Other Pacific Islander
Other:
What is the student's ethnicity?
*
Hispanic/Latino
Non-Hispanic/Latino
What grade level will the student be in for the 2024-2025 school year?
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PK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
What school district does the student currently attend?
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Your answer
What is the distance you will drive to drop off your student at The Academy of Okmulgee?
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Less than 1.5 miles
More than or equal to 1.5 miles
Does your student have a 504 or an IEP?
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Yes
No
Has your student ever had a 504 or an IEP?
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Yes
No
Is English the second language spoken in the home?
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Yes
No
Does your student have any known allergies? If yes, please list the allergies in the space provided. If not, please type N/A.
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Your answer
Does your student have diabetes?
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Yes
No
Does your student have asthma?
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Yes
No
Please list any additional medical information we should be aware of. If none, please type N/A in the space provided.
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Your answer
Who has legal guardianship of this student?
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Your answer
What is the parent/guardian's legal name?
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Your answer
What is the parent/guardian's physical address (including city, state and zip)?
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Your answer
What is the parent/guardian's mailing address (including city, state and zip)?
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Your answer
What is the parent/guardian's cell phone number? Please type N/A if none.
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Your answer
What is the parent/guardian's home phone number? Please type N/A if none.
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Your answer
What is the parent/guardian's place of work? Please type N/A if none.
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Your answer
What is the parent/guardian's work phone number? Please type N/A if none.
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Your answer
What is the parent/guardian's relationship to the student?
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Your answer
Please check all that apply to parent/guardian (1):
*
The student lives with them.
They have custody of the student.
They may have access to student records.
They may pick up the student from school.
They may be listed as an emergency contact for this student.
Required
What is the legal name of parent/guardian (2)?
*
Your answer
What is the physical address (including city, state and zip) of parent/guardian (2)?
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Your answer
What is the mailing address (including city, state and zip) of parent/guardian (2)?
*
Your answer
What is the cell phone number of parent/guardian (2)? Please type N/A if none.
*
Your answer
What is the home phone number of parent/guardian (2)? Please type N/A if none.
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Your answer
What is the workplace of parent/guardian (2)? Please type N/A if none.
*
Your answer
What is the work phone number of parent/guardian (2)? Please type N/A if none.
*
Your answer
What is the parent/guardian's relationship to the student?
*
Your answer
Please check all that apply to parent/guardian (2):
*
The student lives with them.
The have custody of the student.
They may have access to the student's records.
They may pick the student up from school.
N/A
Required
What is the legal name of parent/guardian (3)?
*
Your answer
What is the physical address (including city, state and zip) of parent/guardian (3)?
*
Your answer
What is the mailing address (including city, state and zip) of parent/guardian (3)?
*
Your answer
What is the cell phone number of parent/guardian (3)? Please type N/A if none.
*
Your answer
What is the home phone number of parent/guardian (3)? Please type N/A if none.
*
Your answer
What is the work place of parent/guardian (3)? Please type N/A if none.
*
Your answer
What is the work phone number of parent/guardian (3)? Please type N/A if none.
*
Your answer
What is the parent/guardian's relationship to the student?
*
Your answer
Please check all that apply to parent/guardian (3):
*
The student lives with them.
They have custody of the student.
They may have access to the student's records.
They may pick up the student from school.
They may be listed as an emergency contact for the student.
N/A
Required
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