Pre-Enrollment Form

Enroll Now!Enrollment is easy.

Click on this link to download the PDF Form. Fill out the form, print it and bring it in, fax it, or email it. For Camp Verde you can fax to 928-567-7895. For Cottonwood you can fax to 928-634-9053.

You can also email the form straight through the PDF or use the enrollment form below. Any method is acceptable. Please remember that if you email the form or use the form below, you will need to email us additional documents (Birth certificate, transcripts, etc.). You can send those documents to us through this email address: asandall@edkey.org

If you are having trouble with emailing the form using the email submit button in the form you can save it to your computer and attach it to an email and send it in still.

Completion of the pre-registration form is a reservation for a spot but not a guarantee; we must ensure there is space available in the grade you have requested. The registrar for the school will call you and verify availability. If space is available, enrollment will be complete once all documents have been received upon your scheduled visit at the school and signed off on.

Potential students will also need to fill out a PHLOTE / Home Language Survey form before their registration is complete.



STUDENT INFORMATION
What school would you like to pre-enroll the student into?
Student's Legal Name (Last, First, Middle):
Birth State:
Today's Date:
Home Address:
City:
  
State:
  
Zip:
  
(Choose One)
Male Female
Home Phone Number
Birth Date (Month, Day & Year)
Language Spoken at Home:
SAIS # (if known):
Hispanic/Latino?:
Tribe (if Native American):
Ethnic Origin: (Select all that apply)
White Black or African American Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Other
Last School Attended:
Address of Last School:
Grade This School Year (2017-2018):
Expected Grade Next Year (2018-2019):
Are you enrolling for the current semester or a future semester?:
Where did you hear about Sequoia Schools?:
Did Student Receive Special Education Services at Previous School?
YES NO If Yes, Date of Last I.E.P.:
Has Student Been Suspended or Expelled from any School?
YES NO If Yes, Date & School:

FAMILY INFORMATION
Parent / Legal Guardian (Last, First, Middle):
Father/Mother/Other (Specify Please):
Place of Employment:
Email Address:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Parent / Legal Guardian (Last, First, Middle):
Father/Mother/Other (Specify Please):
Place of Employment:
Email Address:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Please list all other schools your child has attended.
NAME OF SCHOOL   ADDRESS
 
 
 
 

1. What is the primary language used in the home regardless of the language spoken by the student?

2. What is the language most often spoken by the student?

3. What is the language that the student first acquired?

SIGNATURE OF THE PARENT OR GUARDIAN DATE