I am submitting an intent to enroll. I understand that for my currently enrolled AAEM student, this form will serve as the re-enrollment document. No other forms will be required for 2022-2023 enrollment. *
I am declining enrollment for 2022-2023. I understand that a spot will not be reserved for the 2022-2023 school year. *
If declining enrollment, please indicate a reason below:
Your answer
Current Homeroom Teacher (1st Period for Middle School)
Your answer
Student First Name *
Your answer
Student Middle Name *
Your answer
Student Last Name *
Your answer
Date of Birth: (mm/dd/yyyy) *
Your answer
Grade level my child is entering for 2022-2023: *
Special Education Category and Service Type (if applicable):
Your answer
English, as a Second Language Learner: Yes / No *
Parent/Guardian Information
My address HAS changed since my student’s original enrollment date: *
If your address HAS changed, please provide a new proof of residency and indicate the new address below:
Please email the front office at office@plcaaem.org or submit in person during office hours.
Name: First, Middle, Last
Your answer
Street Address (include apartment number if applies)
Your answer
Phone Number:
Your answer
Electronic Parent/Guardian Signature (please type below): *
Your answer
A copy of your responses will be emailed to the address you provided.