HAFS Enrollment Form 2018-2019
If you are enrolling multiple children, please fill out a separate form for each child.
Enrollment Date *
Please put the date you would like your child's enrollment to begin.
MM
/
DD
/
YYYY
Parent/Guardian Name *
If you are over 18 and you are the one enrolling yourself, you may put your own name.
Your answer
Student Name *
If you are enrolling multiple children, please fill out a separate form for each child.
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Grade Level *
Please put the estimated closest grade level, even if you do not use grade levels. I need this information for my reporting purposes, it does not mean your child has to be in any certain "grade".
City *
Your answer
Florida Home Street Address *
MUST NOT BE P.O. BOX
Your answer
Zip Code *
Your answer
Phone Number
Your answer
Complete Mailing Address (if different from home address)
Your answer
Parent/Guardian Email Address *
Your answer
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