East Tampa Academy
Registration Form | 2020-2021 School Year
* Required
Email address
*
Your email
Student Information
Please fill out the form completely. Red asterisks (*) denote required fields for proper applicant submission.
Student First Name
*
Your answer
Student Middle Name
*
Your answer
Student Last Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Student Grade Level for the 2020-2021 School Year
*
Kingergarten
First Grade
Second Grade
Street Address
*
(MUST have street address; Proof of Hillsborough County or Florida residency is required at time of registration)
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Mailing Address (if different than above – such as a P.O. Box)
Your answer
The above address for student is shared with:
*
(Documentation of custody/residence is required).
Both Parents
Mother
Father
Guardian
Other:
The Florida Department of Education and Hillsborough County Schools require that all public schools collect the student’s social security number (SSN). Your student’s SSN is his/her “Student Identifier.” A parent/guardian is not legally required to provide the SSN. If the student is entering a Florida school for the first time and no SSN is provided, the school district will assign a unique numeric identifier that will be used throughout the student’s education.
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