Student Enrollment

Child Information

Parent 1 Information

Parent 2 Information

Additional Information

Please provide legal document, if required.
Emergency Contact Names and Phone Numbers (must be different from parents) and have your permission to pick up your child.
We will always call you first at all numbers listed. Please indicate numerically who should be called next.

Please List any individual NOT permitted to pick your child up below

Please Answer All Questions

I hereby attest that all information is factual and correct, I also agree to the Highland Academy II Privacy Policy & Terms of Service.
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