Carpool Transportation Liability Waiver I, * First Name Last Name Student's Age Student's Age Gender Male Female Other Date of birth Grade First grade Second grade Third grade Fourth grade Fifth grade Sixth grade Program 5 Day Academic + Specialty Program 3 Day Academic Program 2 Day Specialty Subject Program Parent/guardian * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * Enter the best number to reach you in case of emergency (###) ### #### Student lives with Please list all siblings and other individuals living in the household (include names and ages) What schools has your child attended? * Please give length of stay and reason for change How did you hear about our school? Please describe your parenting philosophy Please describe some of the things that you like to do as a family Please describe your child's academic strengths and weaknesses Please describe your child's learning style Please describe your child's social skills Please describe your child's emotional maturity Please describe your child's personal qualities What are your child's extracurricular activities: sports, dance, martial arts, theatre, music, etc.? Does your child have an IEP/504? If your child does have an IEP or a 504, please describe the services needed to best support your child. Please understand that we do NOT provide Special Education services but will do our best to accommodate all children. X Username @ Thank you for sharing this information with us! Thank you!
