Caepe School Enrollment Form

39905 N. Gavilan Peak Parkway Anthem, Arizona 85086 thecaepeschool.org 623-­‐551-­‐7808

INTENT TO ENROLL FORM 2014-­‐2015 SCHOOL YEAR Grade _______2013-­‐2014: __________ Today’s date: _____/_______/_____ Current Grade: ____________ PLEASE READ AND FILL OUT EACH ITEM IN PRINT Student’s Name: _________________________________________________________ First M.I. Last

Age as of Sept. 1, 2014

Date of birth:

Address: ___________________________________________ City: ____________ Zip: _________ School last attended: _________________________________________________________ Will your child be enrolled at The Caepe School for the 2013-­‐2014 School year? ________ yes _________no Parent/ Guardian’s name: _________________________________________________________

Email (all notifications will be sent through email which is the form of communication used; please print clearly)

_____________________________________________________ Home Phone: ________________ Cell Phone: _________________ Work Phone: ______________ Siblings: (Subject to verification; siblings must also apply on separate application) Also applying to TCS Yes___ No___ Currently Attends TCS or TCP Yes___ No___ 1. Name ________________________________________ Age _____Grade entering in August 2014

Also applying to TCS Yes___ No___ Currently Attends TCS Yes___ No___ 2. Name ________________________________________ Age _____Grade entering in August

Also applying to TCS Yes___ No___ Currently Attends TCS Yes___ No___ 3. Name ________________________________________ Age _____Grade entering in August

Please check all that apply: Does the applicant qualify as an At-­‐Risk Pupil and have an IEP? Yes___ No___ (If yes, please check all that applies from below); Does this applicant qualify for the gifted/talented program? Yes_____ No____

IMPORTANT NOTE: This form is used to indicate interest in enrolling at The Caepe School. Completing this application does not guarantee a spot in this school, In the event that the number of applications for any grade exceeds the number of available seats, a random lottery will be held. If a lottery is required it will be held in April of 2014. Students must be in the grade that is correspondent with their appropriate age at the time of application.

I CERTIFY THAT ALL OF THE ANSWERS GIVEN IN THIS APPLICATION ARE TRUE:

_______________________________________________

_______/__________/_______ Parent / Guardian Signature & Date

Office USE (DO NOT COMPLETE): Date received: ____________ TCS Staff member who received: ______________________________ Email Confirmation sent by :__________________________________ On:_____________________________