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Jaelio Academy Application Form

Please note that submitting this form is only one part of the process to enrolling your student into Jaelio Academy.

In order to be officially enrolled in Jaelio Academy, a meeting must be held with the administration, and a registration fee must also be paid.

Student Info

Student's First Name

Student's Middle Name

Student's Last Name

Student's Age:

Student's Birthday required

Parent/Guardian Info

Father/Guardian's FULL Name

Father/Guardian's Email Address

Father/Guardian's Phone Number

Father/Guardian's Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Mother/Guardian's FULL Name

Mother/Guardian's Email Address

Mother/Guardian's Phone Number

Mother/Guardian's Address (If Different Than Father's Address)

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Father/Guardian Work Phone:

Mother/Guardian Work Phone:

Emergency Contacts (other than parents)

Emergency Contact #1 Full Name

Emergency Contact #1 Phone Number

Emergency Contact #1 Relationship to Student

Emergency Contact #2 Full Name

Emergency Contact #2 Phone Number

Emergency Contact #2 Relationship to Student

Student Health

Student Health Issues (If any):

Student Allergies (If any):

Agreements & Contracts

In making this application for my child, I understand that the policy of the school is to make NO refunds or transfers on registration fees, the first tuition payment, or any tuition payments made in full. I also give permission for my child to take part in all activities of Jaelio Academy. I further agree to indemnify and hold Jaelio Academy harmless for any and all liability that may result from my child’s attending or participating in all activities of Jaelio Academy.

Student Handbook

I have fully read, understand, and agree to the above-attached Jaelio Academy Student Handbook

Jaelio Academy Forms and Contracts

I have fully read, understand, and agree to the above-attached Jaelio Academy Forms and Contracts

Photo Consent Form

I have fully read the above-attached photo consent form, and:

I agree to the photo consent

I DO NOT agree to the photo consent

YOUR SIGNATURE: By signing below, you state that you have fully read, understand, and agree to all the above-attached forms and contracts by Jaelio Academy.

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