Sunshine State Homeschool Academy
Thank you for joining us!

Prior to completing this form (the New Student Enrollment Form) please gather the required documents that are needed for enrollment. Make sure you complete a new form for each student you are enrolling. Requirements for Enrollment include:

1) Complete the New Student Enrollment Form (this form)
2) Copy of your child’s birth certificate.
3) Student Health Examination (HRS-H Form 3040) or waiver form.
4) Florida Certificate of Immunization (HRS Form 680) or waiver form.
5) Enrollment fee

(All documents must be current, and the Student Health Examination and Florida Certificate of Immunization must be less than one year old. Email all documents to SSHA@mail.com)

Enrollment fees:
First time enrollment/New student: $25
Week day same day or week end enrollment: $40
Subsequent enrollments (changing grade levels more than one time within 365 days): $20
(Students are enrolled annually and with each grade level change)

After completing this form visit our enrollment page (https://www.sshacademy.org/enrollment) to submit payment [Scroll down to the "buy here" icon under "enrollment fees" and select your enrollment status to submit payment.]

By enrolling with SSHA, you agree to our guidelines, terms of use, and privacy policy, which can be found on our website https://www.sshacademy.org/


Parent(s) First and Last Name *
Your answer
Student Name *
Your answer
Email *
Your answer
Street Address (a P.O. box is not permitted) *
Your answer
City, State, zip code *
Your answer
Parent(s) Phone Number *
Your answer
Will you accept text messages from SSHA? *
Student Date of Birth *
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YYYY
Student Grade Level (select the "grade" that best fits your student) *
Student Start Date (If you do not indicate a start date for your student, it will be the date that we receive this completed form, all documents, and enrollment payment. Note that we cannot backdate enrollment)
MM
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DD
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YYYY
Will you need Enrollment Confirmation from SSHA to complete the withdrawal process at another school? If so, please include the name of the previous school and their email or mailing address so that SSHA can send enrollment confirmation. *
Your answer
How did you learn about, or who referred you to, Sunshine State Homeschool Academy? *
Your answer
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