Welcome Elevate Eagles

Student Full Name

Student Nickname

Date of Birth

Gender Gender Male Female

Student Email

Student Phone

Will your student be bringing device(s) to EO? Will your student be bringing device(s) to EO? Yes No

If yes, please list the device(s).

Enrolling Grade Enrolling Grade PreK [2 Days: Mon & Wed] (must be 4 & potty-trained) PreK [3 days] (must be 4 & potty-trained) Kindergarten [2 Days: Mon & Wed] Kindergarten [3 days] 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Is there anything about your family dynamic that you feel would be beneficial for us to know?

Current/Previous School:

Please list the contact email for your current/previous school:

Does your student have any learning difficulties/challenges? If so, please explain.

Is your student currently on a 504/IEP? Is your student currently on a 504/IEP? Yes No

Has your student received any disciplinary action, such as expulsion/suspension/probation/detention? If so, please explain.

Has your student repeated a grade? If so, please explain.

Has your student skipped a grade? If so, please explain.

Any medical diagnosis/problems?

Any medications?

Any allergies?

In order to ensure that we are helping support the well-being of your child and providing a safe environment, please select which of the following best fits your student. If you select Asthma or Anaphylaxis/Food Allergy, please fill out the correlating form and the self-administration contract. If you select other, please contact us about the condition(s), so that we can do our best to accommodate, if possible. If there are any medication(s)/supplement(s) that will be brought to school, please fill out the medication check-in form. In order to ensure that we are helping support the well-being of your child and providing a safe environment, please select which of the following best fits your student. If you select Asthma or Anaphylaxis/Food Allergy, please fill out the correlating form and the self-administration contract. If you select other, please contact us about the condition(s), so that we can do our best to accommodate, if possible. If there are any medication(s)/supplement(s) that will be brought to school, please fill out the medication check-in form. No Medical Needs Asthma Anaphylaxis/Food Allergies Other

What strengths, weaknesses, gifts/talents & areas of growth do you see in your student?

Who is Jesus to your student?

Since you have spent time considering the right school for your student, please share what you are expecting from Elevate Oklahoma and why you have selected our program to achieve your goals.

Is there anything else we should know that would help us to protect/equip/encourage/support you and/or your student better?

We love to highlight student moments and capture memories. Sharing our stories via our website and social media is a great marketing tool for EO. We want to ensure that media postings related to your student have your approval and respect their privacy. Please indicate below if you are okay with us taking pictures, recording, collecting statements from/of your student. We love to highlight student moments and capture memories. Sharing our stories via our website and social media is a great marketing tool for EO. We want to ensure that media postings related to your student have your approval and respect their privacy. Please indicate below if you are okay with us taking pictures, recording, collecting statements from/of your student. Yes No Conditional - Please Email to clarify any restriction requests

We want EO students to grow academically, spiritually and relationally. For this reason, Elevate places emphasis on character development. We want to ensure that everyone is aware of, understands and agrees with our expectations for students. Your partnership with us supports EO in fostering a culture that encourages growth. Please read our two supporting documents for this: “Behaviors & Consequences” and “Student Conduct Agreement” located at the bottom of the page. Please read over them with your student before Back to School Night. Students in Grades 3-12 will need to sign the agreement for themselves by their first day of school. Parents of students in Grades PreK-2 may sign on behalf of their student at the Back to School event. By putting your name here, you are agreeing to help us encourage your student to follow these expectations (in accordance with the parent/guardian agreement).