2020-2021 Re-Enrollment Application Question Title * 1. Student Name Question Title * 2. Current Grade Kindergarten First Grade Second Grade Third Grade Fourth Grade Question Title * 3. Address Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Question Title * 4. Parent / Guardian Information Mother's Name Cell Phone Number Father's Name Cell Phone Number Guardian's Name Cell Phone Relation to Student Question Title * 5. Please read and initial BOTH of the following policies I understand that if we have an outstanding account balance, my student's 2020-2021 school enrollment WILL NOT be finalized until full payment is made. (Contact the main office to find out if you have an account balance. I understand that re-enrollment is contingent upon my commitment to comply with written and approved school policies including uniform policies, attendance policies, volunteer policies and the Student Code of Conduct. If i elect NOT to comply with these policies, my student's re-enrollment will need to be approved by the Board of Trustees. Question Title * 6. Commitment Statement I intent to re-enroll my child for the 2020-2021 academic year. My signature below and payment of my outstanding balance, if any, by April 10, 2020, signifies our commitment to Premier Arts and Science Charter School. Parents / Guardian Name Student Name I DO NOT intend to re-enroll my child for the 2020-2021 academic year. He/She will be attending Parent / Guardian Name Child Name Done