Returning Student

indicates a required answer

Cheerful Heart Academy - Returning Student

Welcome Back! No matter what took you away, I'm so glad that you have come back to CHA. More than likely, I have the enrollment documents in your student's folder from your first enrollment. If you've been away for a long time, I will definitely need an updated immunization form (or waiver) and health form (or waiver). I have a place for you attach the documents at the bottom of this form, but you can wait and send them to me via email, mail, or fax (239-294-3558) if you would like. Contact me at [email protected] if you need my address for mailing or have questions about whether I need the updated documents.

I will send an invoice for the amount that you owe for tuition after I've received and processed this form.

1. *	Date of Registration:

2. *	Student's Name:

3. *	Student's Date of Birth:

4. *

Student's Gender:

Male

Female

5. *	Student's Race/Ethnicity:

6. *	Student's Grade Level: *The Student Grade is only for overall reporting purposes for the state. The state does not require each student's grade level, but does require a headcount of how many students a private school has in each grade. If your child spans more than one grade, just choose the lower grade.

7. *	Parent's Name:

8. *	Parent's Email Address

9. *	Street Address:

10. *	Phone Number:

11. *

Would you prefer to correspond via email or regular mail?

Email Always		Mail for Important Documents; Email for Everything
Snail Mail Only		Mail most of the time; email for emergencies only

12.	Where did your student attend school prior to registering with CHA? Please give the full name of the school and the town it's located in. If you've been home educating under the county's supervision or another umbrella school, please indicate that here. If you have a Kindergartener who has never been to school, you can just type "K" or skip the question.

13. *

Do you want or need me to request records from the school previously attended? (If previously home schooled, or a Kindergartener, please just choose 'no'.)

Yes		No
Maybe, please check with me first.

14. *	FLVS - Are you planning to use FLVS (Florida Virtual School) as a part of your curriculum for this student?

15.	Birth Certificate - if you don't have it now, send it ASAP to [email protected]
	Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip

16.	Health Exam (Form DH3040) - if you don't have it now, send it ASAP to [email protected]
	Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip

17.	Immunization Record (Form DH680) - if you don't have it now, send it ASAP to [email protected]
	Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip