Southside Academy Enrollment Application

Thank you for your interest in Southside Academy! Beginning Monday, January 1, we will begin accepting applications for kindergarten through 5th grade for the 2026–2027 school year.

Please note: All incoming kindergarten students must be 5 years old by August 31, 2026.

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Scholar Information
Scholar Full Name (first, middle, last) *
Scholar Gender *
Street Address *
City *
State *
Zip Code *
Scholar Ethnicity *
Required
Scholar Birth Date *
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Grade Level Applying For *
School Last Attended (If not applicable, put "N/A") *
Has your child even been retained or passed conditionally? *
If yes, please explain.
Does your child have any physical limitations or disabilities we should know about? *
If yes, please indicate which one(s) and describe the magnitude of their need.
Does your child have any learning or behavioral disabilities? (i.e. ADHD, ADD, Dyslexia, PTSD, Etc.) *
If yes, please indicate which one(s) and describe the magnitude of their need.
Does your child receive any special services? (i.e. speech therapy, classroom pull-outs, behavioral plans, etc.) *
If yes, please list.
Does your child have any allergies? *
If yes, please list.
Parent/Guardian Information
First Parent/Guardian Name *
Relationship to Scholar *
Second Parent/Guardian Name
Relationship to Scholar
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Additional Parent/Guardian Names
Relationship to Scholar
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Scholar lives primarily with: *
Primary Parent/Guardian Phone Number(s) *
Primary Parent/Guardian Email(s) *
Church you regularly attend (If not applicable, put "N/A") *
Number of Dependent Children in the household *
Estimated Yearly Household Income *
Parent involvement is an important piece of what makes our school successful and for parents to feel a part of our school community. If your scholar is selected for admission, which of the following areas would you potentially be interested in volunteering or contributing towards? *
Required
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