PEACE Academy Charter - Student Enrollment Form
PEACE Academy Charter is a tuition-free, public charter school opening in Fall 2022 with Kindergarten through Third Grade. As a state-wide approved charter school, we welcome students regardless of their zoned school district or county.
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Email *
APPLICATION FOR ENROLLMENT
By completing this form, I am applying to enroll my child(ren) into PEACE Academy Charter School. I also understand that by submitting this form now, in no way, guarantees my child(ren) enrollment at PEACE Academy Charter nor does it solidify a firm commitment for my child(ren) to attend.

I understand that the school will contact me to finalize enrollment in January 2022. I understand that there will be a lottery if enrollment is full. A lottery will be held to determine which students are granted enrollment.

By submitting this form, I give PEACE Academy Charter School permission to contact me in the future about school programs and enrollment.
SCHOLAR INFORMATION
Scholar's First Name *
Scholar's Middle Name
Scholar's Last Name *
Scholar's Date of Birth *
MM
/
DD
/
YYYY
Scholar's Race/Ethnicity
Grade in Fall 2022 (Kindergarden) *
Grade in Fall 2022 (1st) *
Grade in Fall 2022 (2nd) *
Grade in Fall 2022 (3rd) *
Grade in Fall 2022 (Other)
Currently, we are not enrolling these grades but we can keep your information on file for future years. We can also share other partnering school information with you.
Clear selection
Home Language *
Required
Zoned District *
Zoned School
PARENT/ GUARDIAN INFORMATION
Parent First Name *
Parent Last Name *
Primary Phone Number (555) 555-5555 *
Primary Phone Type *
If primary number is a cell number, do we have permission to send you updates via text? *
Secondary Phone Number (just in case we are not able to reach you at the primary number)
Secondary Phone Type
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Relation to Scholar? *
SCHOLAR ADDRESS
Street Address (555 Park Ave) *
Apartment, unit, suite
City *
State *
Zip Code *
SIBLINGS
Does the scholar have a brother or sister eligible to attend PEACE (they are also in K-3 in Fall 2022)? *
Are you interested in submitting a new enrollment application for those additional children?
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What are the scholar's siblings name(s)?
Does the scholar and sibling(s) live together at the same address?
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ADDITIONAL INFORMATION
Does either parent/guardian serve on the board of PEACE Academy Charter School? *
If yes, what is the Board Member's name?
Is either parent/guardian employed by PEACE Academy Charter School? *
If yes, what is the Employee's name?
RECRUITMENT INFORMATION
Where did you learn about about the PEACE Student Enrollment Application? *
Please share the name of the person, event, or post that informed you about the student enrollment applicant. *
Any additional comments?
A copy of your responses will be emailed to the address you provided.
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