Student Application Form (2025-2026) Section 1: Student InformationFirst NameLast NamePreferred Name/Nickname:Date of Birth:Gender:- Select -FemaleMaleGrade Entering (September 2025):Current School:Current Grade Level:PreviousNextSection 2: Parent/Guardian InformationParent/Guardian 1 - Full Name:Relationship to Student:Email Address:Phone Number:Parent/Guardian 2 - Full Name (if applicable):Relationship to Student (if applicable):Email Address (if applicable):Phone Number (if applicable):Home Address:Preferred Method of Communication: Email Phone TextPreviousNextSection 3: Emergency ContactFull Name:Relationship to Student:Phone Number:Email Address:PreviousNextSection 4: Medical & Allergy InformationDoes your child have any allergies? If yes, please provide details: Yes NoPlease provide details:Does your child have any medical conditions or require medication? If yes, please provide details: Yes NoPlease provide details:Family Physician Name & Contact (optional):PreviousNextSection 5: Learning Profile & Support NeedsDoes your child have any learning accommodations or support needs? If yes, please provide details: Yes NoPlease provide details:Are there specific learning styles or approaches that work well for your child? Yes NoPlease provide details:Any additional information we should know to support your child's learning and well-being:PreviousNextSection 6: Program InterestsSpecialized Area of Focus Academic Only Hockey Arts Not SureDoes your child have prior experience with any of the following? Skating Hockey Arts Music Outdoor ActivitiesPreviousNextSection 7: Meals & Dietary NeedsDoes your child have any dietary restrictions? If yes, please provide details: Yes NoPlease provide details:Will your child participate in the hot lunch/snack program? Yes No UndecidedThanks! We will be in touch with you shortly about specific details!PreviousNextSection 8: Parent Involvement & CommunicationAre you interested in volunteering or participating in school events? Yes Possibly Not at this timeHow involved would you like to be in your child's education or check-ins?PreviousNextSection 9: Tuition & PaymentNumber of children enrolling:Preferred payment option:- Select -MonthlyTerm-BasedFull PaymentPreviousNextSection 10: Final NotesHow did you hear about Three Brother Ranch Academy?What are your hopes or goals for your child this year?Any questions or comments?Consent & SignatureI understand this is an initial intake form and not a confirmation of enrollment. I understand this is an initial intake form and not a confirmation of enrollment. Previous Submit Form
