Southside Academy Enrollment Application
Thank you for your interest in Southside Academy! Beginning Monday, December 18, 2023, we are accepting applications for the 2024-25 school year. We are enrolling for kindergarten through 3rd grade.

*Please note that all incoming kindergarten students must be 5 years old by August 31st of 2024
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Scholar Information
Scholar Full Name (first, middle, last) *
Scholar Gender *
Street Address *
City *
State *
Zip Code *
Scholar Ethnicity *
Required
Scholar Birth Date *
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Grade Level Applying For *
School Last Attended (If not applicable, put "N/A") *
Has your child even been retained or passed conditionally? *
If yes, please explain.
Does your child have any physical limitations or disabilities we should know about? *
If yes, please indicate which one(s) and describe the magnitude of their need.
Does your child have any learning or behavioral disabilities? (i.e. ADHD, ADD, Dyslexia, PTSD, Etc.) *
If yes, please indicate which one(s) and describe the magnitude of their need.
Does your child receive any special services? (i.e. speech therapy, classroom pull-outs, behavioral plans, etc.) *
If yes, please list.
Does your child have any allergies? *
If yes, please list.
Parent/Guardian Information
First Parent/Guardian Name *
Relationship to Scholar *
Second Parent/Guardian Name
Relationship to Scholar
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Additional Parent/Guardian Names
Relationship to Scholar
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Scholar lives primarily with: *
Primary Parent/Guardian Phone Number(s) *
Primary Parent/Guardian Email(s) *
Church you regularly attend (If not applicable, put "N/A") *
Number of Dependent Children in the household *
Estimated Yearly Household Income *
Parent involvement is an important piece of what makes our school successful and for parents to feel a part of our school community. If your scholar is selected for admission, which of the following areas would you potentially be interested in volunteering or contributing towards? *
Required
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