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Online Application/Intent To Enroll

If your child is selected for enrollment through our random lottery process, you will be notified. If you are not notified by the end of the 2023/2024 school year, you will need to complete a new Intake form for the following school year.

Please complete the form below. Required fields marked with an asterisk *

Today's Date*

Answer required for "Today's Date"

School Currently Attending

Answer required for "School Currently Attending"

Student's Name*

Answer required for "Student's Name"

Date of Birth*

Answer required for "Date of Birth"

Age*

Answer required for "Age"

Sex*

Answer required for "Sex"

Male

Female

Grade Level*

Answer required for "Grade Level"

Enrolling Parent\Legal Guardian

Contact Information

Parent\Guardian's Full Name*

Answer required for "Parent\\Guardian's Full Name"

Relationship to Student*

Answer required for "Relationship to Student"

Email Address

Answer required for "Email Address"

Mobile Phone

Number Required

Home Phone

Number Required

Work Phone

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

How did you hear about our school?

Answer required for "How did you hear about our school?"

Referred by?

Answer required for "Referred by?"

Are you willing to enroll more than one student?

Answer required for "Are you willing to enroll more than one student?"

Yes

If we have an opening for one grade and not the other, are you willing to SEPARATE your students?

Answer required for "If we have an opening for one grade and not the other, are you willing to SEPARATE your students?"

Yes

By signing the INTENT TO ENROLL NEW STUDENT form, I understand that

· This form is a request to enroll my child at Team Success for the 2022-2023 school year

· Completing this form does NOT guarantee a spot in the desired grade level

· I will be notified about the status of the request once the lottery has been completed

· Forms submitted after February 28, 2022 will be considered for later lottery processes

· Siblings of current students will be considered first for any available spots

Confirmation Email

Answer required for "Confirmation Email"