2024-2025: 4K Student Enrollment Form
We are excited to announce that our 2024-2025 student enrollment is now open! The form below should be completed only for students that are registering for 4K.  Please complete one form per child.  

Our front office staff will contact you once the form has been submitted.  You will then be given the next steps for the enrollment process. 

Please do not hesitate to reach out if you have questions or issues completing the form.  You may reach us at (864) 210-9262 or haley.owens@gouchercharter.org. 

Thank you for choosing Goucher Charter Academy!  We cannot wait for you to join our family! 
Sign in to Google to save your progress. Learn more
Email *
Student's Name (First Name, Middle Name, Last Name)  *
Student's Date of Birth  *
Gender *
Student's Race *
Parent/Guardian Name (First Name, Last Name)  *
Parent/Guardian Name (First Name/Last Name)  *
Home Address (Street, City, State, Zip Code)  *
Mailing Address (If different from home address)  *
Preferred Email Address *
Secondary Email Address (Optional)
Preferred Phone Number  *
Secondary Phone Number (Optional)
Preferred Method of Contact (Check all that apply.) *
Required
Student lives with... *
Does your student have a sibling currently enrolled at Goucher Charter Academy during the 2023-2024 school year? *
What is the sibling's name and grade level currently attend GCA?
Please list the name of your child's current school or daycare. 
Is your 4K child covered by South Carolina Medicaid? *
How did you hear about Goucher Charter Academy? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Goucher Charter Academy. Report Abuse
Google Forms