Parents please fill out this  form as fully as possible so we may better serve You

Today's Date  mm/dd/yy

Please provide the following contact information:

Parent Full Name		Newly enrolled students will receive  Arbor's New Student Package which includes all the required forms, assessments and a complement of useful information tailored for your family. Mail: Arbor's New Student Welcome Package to SHIPPING ADDRESS      Same as Given Street Address Address (cont.) City State/Province Zip/Postal Code Country
Home Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Familiarity with homeschooling?

New to home independent study and wish a great deal of support/guidance.
Familiar with home independent study and wish a moderate level of support/guidance.
Experienced with home independent study and wish a minimal level of  support/guidance.

STUDENT INFORMATION Please Indicate Enrollment by Grade Levels #Children  Arbor Program Yearly Enrollment  - Cost $200 / Family Grade School Level 1-5           +$20 enrollment processing fee Secondary School Level 6-8   +$20 enrollment processing fee High School Level 9-12           +$50 enrollment processing fee           Rate Code
Child's Previous School   School Street Address   City   State/Province Zip/Postal Code   Country School  Phone FAX E-mail	Child's Previous School   School Street Address   City   State/Province Zip/Postal Code   Country School  Phone FAX E-mail
Student Information Name Grade Age GPA Sex Male Female	Student Information Name Grade Age GPA Sex Male Female
Please tell us more about your child...	Please tell us more about your child...
Contact me with more information about...	Other  Comments or  Questions
Please Review Your Information and Submit       Arbor Academy Admissions Copyright © 2004 Arbor Academy. All rights reserved. Revised: 02/20/04