Student Enrollment Form

Complete all required sections below. Fields marked with ★ are required. Documents must be uploaded to proceed. Completed forms will be forwarded automatically to designated staff upon submission.

Select School Location ★

Please select a school location.
1
Student Information
Legal name, date of birth, contact details
Required ▾
Please select enrollment type.
Please select a school year.
Last name is required.
First name is required.
Grade is required.
Gender is required.
Date of birth is required.
Street address is required.
City is required.
State is required.
Valid ZIP code is required.
Check same address or enter a different mailing address.
Mailing address is required when it is different from the street address.
Mailing city, state, and ZIP are required when the mailing address is different.
Home phone is required.

ETHNICITY / RACE — Providing this information is optional and not used to make enrollment decisions.

Enrollment Preference (A.R.S. § 15-184(B))

Date(s) of prior attendance are required when Yes is selected.
Sibling name is required when Yes is selected.

Military Student Identification (not used for enrollment decisions)

2
Parent / Guardian Information
Guardian contact and custody details
Required ▾

Guardian 1

Last name is required.
First name is required.
Valid home phone is required.
Guardian 1 address is required.
Guardian 1 city, state, and ZIP are required.
Valid email is required.

Guardian 2 (optional)

Valid home phone is required.
Guardian 2 address is required.
Guardian 2 city, state, and ZIP are required.
3
Previous Enrollment History
All schools attended in current or past school years
Required ▾
List all schools attended during the current or past school years.

School 1

Required.
Grade level is required.
School year is required.
City is required.
State is required.
4
Residency Documentation
Arizona Residency Documentation Form (ADE)
Required ▾
Note: McKinney-Vento students may skip residency documentation.
Guardian name is required.
Please answer this question.
5
Home Language Survey
Arizona Department of Education — OELAS
Required ▾
Responses are used for instructional planning and to determine if the student will take the AZELLA placement test. Not used to make enrollment decisions.
This field is required.
This field is required.
This field is required.
6
Emergency Contact Information
Persons other than parent/guardian authorized to care for or transport student
Required ▾
We cannot release the student to anyone who is not listed below.

Emergency Contact 1

Required.
Required.
Required.

Emergency Contact 2 (optional)

7
Medical & Health Information
Voluntary — not used for enrollment decisions
Optional ▾

Completion of this section is voluntary. Please check any conditions that apply.

💉
Click or drag immunization record here
PDF, JPG, or PNG — max 10MB
Upload a PDF, JPG, JPEG, or PNG if you choose to include this document.
8
Special Education & 504 Services
Not for enrollment — used for service placement only
Required ▾
9
Income-Based Eligibility
ADE Alternative Form — Free & Reduced Lunch Program
Post-Enrollment ▾
This section is not required for enrollment. It is requested after enrollment to determine eligibility for state and federal programs.

FY 2026 Income Eligibility Guidelines (July 1, 2025 – June 30, 2026)

Family Size Income Eligibility 1 Income Eligibility 2
Yearly Monthly 2×/Mo Bi-Weekly Weekly Yearly Monthly 2×/Mo Bi-Weekly Weekly
1 $20,345 $1,696 $848 $783 $392 $28,953 $2,413 $1,207 $1,114 $557
2 $27,495 $2,292 $1,146 $1,058 $529 $39,128 $3,261 $1,631 $1,505 $753
3 $34,645 $2,888 $1,444 $1,333 $667 $49,303 $4,109 $2,055 $1,897 $949
4 $41,795 $3,483 $1,742 $1,608 $804 $59,478 $4,957 $2,479 $2,288 $1,144
5 $48,945 $4,079 $2,040 $1,883 $942 $69,653 $5,805 $2,903 $2,679 $1,340
6 $56,095 $4,675 $2,338 $2,158 $1,079 $79,828 $6,653 $3,327 $3,071 $1,536
7 $63,245 $5,271 $2,636 $2,433 $1,217 $90,003 $7,501 $3,751 $3,462 $1,731
8 $70,395 $5,867 $2,934 $2,708 $1,354 $100,178 $8,349 $4,175 $3,853 $1,927
Each add'l +$7,150 +$596 +$298 +$275 +$138 +$10,175 +$848 +$424 +$392 +$196
10
Designation of Directory Information
Select any information you do NOT want released without prior written consent
Required ▾
If you do not check any boxes below, it will be assumed you have given permission for the school to release all directory information, including to military recruiters. Check any items you wish to withhold.
11
Supporting Documents
Required and optional document uploads
Required ▾
Uploaded files are checked for legibility. Files that are too small, blurry, or corrupted will be flagged. Max file size: 10MB per file.
Parents/guardians must submit one of the following documents within 30 days of enrollment:
  1. A certified copy of the student's birth certificate[9]; or
  2. Other reliable proof of the student's identity, including a baptismal certificate, an application for a social security number, or original school registration records. If documentation other than a certified copy of a birth certificate is provided, such documentation must be accompanied by a notarized affidavit explaining the inability to provide a copy of the birth certificate.
🪪
Birth certificate, passport, AZ ID, baptismal certificate, etc.
PDF, JPG, or PNG — max 10MB
📝
Copy of unofficial transcript from previous school
PDF, JPG, or PNG — max 10MB
📤
Copy of withdrawal form
PDF, JPG, or PNG — max 10MB
📊
Copy of test scores (if available)
PDF, JPG, or PNG — max 10MB
12
Review & Submit
Validate form and submit
Required ▾
Signer name is required.
You must certify before submitting.

⚠ Please correct the following before submitting:

    ✅ Enrollment Submitted Successfully

    Your enrollment form has been submitted and forwarded to the designated staff.