Easton Arts Academy Charter School - Enrollment Form

Enrollment Form


Fill in ALL fields - Submit Form


Child's Last Name:

Child's First Name:

Child's Middle Initial:

Entire Home Address & School Distict:

Gender:

Female

Male

Other List other gender


Name of last school attended:


What grade will your child be entering in 2017?

Areas of Interest:

Dance

Theatre

Figure Skating

Gymnastics

Vocal Music

Design & Digital Art

Instrumental Music

Other List other Interest


Is your child receiving special services?

NO

YES

 


If YES explain:

Child lives with:

Both Parents

Both Parents Alternately

Father Only

Mother Only

Other living arrangements

Please list other

Parent/Guardian First Name:

Parent/Guardian Last Name:


Parent/Guardian Home Address:


Phone Number:

Email Address:

How did you hear about us?:

I understand that the Easton Arts Academy Charter School will service students from Northampton County in grades K-4. I further understand that this school will focus on a variety of visual and performing arts along with a strong academic program. I further understand that this is a preliminary application, non-binding and indicative of my interest and support for this school.


In administering its affairs, including admissions, hiring, and operation, the Board and the Charter School shall not discriminate on the basis of race, color, religion, national or ethnic origin, disability, sex, sexual orientation or age.


Please Type Signature in Box Below:

Please Enter Today's Date:

YES - signed disclaimer

NO - did not sign disclaimer

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Click Here to Enroll Today!

Contact Easton Arts Academy Icons

Location: 30 N. 4th Street - Easton, PA
Mailing Address: PO Box 1208 - Easton, PA 18044
Phone: 484-546-4230

Website: www.easton-arts-charter-school.com

E-mail: info@easton-arts-charter-school.com