Highland Academy Enrollment Form
Fill out our online enrollment form to begin registration of your child. Once the form is submitted a Highland Academy representative will contact you.
Childs Date of Birth
Mothers Home Number
Mothers Date of Birth
Fathers Home Number
Fathers Date of Birth
Mother's Address (City, State, Zip)
Father's Address (City, State, Zip) - if different from Mothers
Mother's SS Number
Father's SS Number
Custody Arrangements, if any:
Upload Legal Documents, if any:
Mother's Employment (Name and Address)
Father's Employment (Name and Address)
Emergency Contact Names and Phone Numbers
Please list any individual NOT permitted to pick your child up below
Please Answer All Questions
Make and model of your vehicle
License Plate Number
Names and ages of siblings
General information about child
Physician Phone Number
Was your child enrolled in speech, special needs or basic skills?
Does your child have IEP?
Does your child speak fluent English?
If not what language does your child speak?
What language is spoken at home?
How did you find out about Highland Academy?
Why do you want your child to go to private school?
I verify that all information on this page is factual / complete and also agree to the Highland Academy
Terms and Conditions
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