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ENROLLMENT APPLICATION
This application applies to both Above and Beyond Students and Above and Beyond Academic Learning Center
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Email
*
Your email
ABOVE AND BEYOND STUDENTS
Student First, Middle Initial, Last Name
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Your answer
Student Address, City, State, Zip Code
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Your answer
Student Date of Birth MM/DD/YYYY ex: 08/15/2011
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Your answer
Student Gender and Race M-Male or F-Female
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Female
Male
Other:
Student Race
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White/Caucasian
Black/African American
Hispanic
Latino
Asian
Native American
American Island, Hawaii
Other:
Student Grade
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Kindergarten
First/ 1st
Second/2nd
Third/3rd
Fourth/4th
Fifth/5th
Sixth/6th
Seven/7th
Eight/8th
Current School or Site you wish to sign up for. If you school is listed, you must select your school.
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Allenbrook Elementary
Eastover
First Ward
Marie G. Davis
Oakdale
Ranson Middle
Reid Park ( Assigned to Marie G. Davis Virtual Learning)
Shamrock Elementary ( Assigned to Seigle Point or Virtual Learning with Opening)
Thomasboro (Assigned to The Charlotte Church Remote Learning Center)
Tuckaseegee Elementary (For Remote, select Mount Carmel Remote Learning Center below)
Villa Heights
Walter G. Byers ( Assigned to Seigle Point Community)
Westerly Hills
Windsor Park ( Assigned to Seigle Point Community)
WInterfield (Assigned to Seigle Point Community)
Statesville Road Elementary (Assigned to Virtual Learning Sites with openings)
CHARLOTTE CHURCH ( REMOTE LEARNING ONLY MON, TUES, WED THURSDAY)
Mount Carmel Baptist Church (REMOTE LEARNING CENTER ONLY MON,TUES, WED, THURS)
Other:
Student ID Number
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Your answer
Students Allergies - Please list all (or put N/A)
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Your answer
Student's Tee Shirt Size
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XS
S
M
L
XL
XXL
Adult Small
Adult Medium
Adult Large
Mother: Parent First Name, Middle Initial, Last Name
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Your answer
Mother: Street Address, City, State, Zip
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Your answer
Mother: Place of Employment, Work Address, and Hours of Employment
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Your answer
Mother: Email Address
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Your answer
Mothers Telephone Number
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Your answer
Father: First Name, Middle Initial, Last Name
Your answer
Father: Street Address, City, State, Zip Code
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Your answer
Father: Place of Employment
Your answer
Fathers Telephone
Your answer
Fathers Email Address
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Your answer
First Emergency Contact: First and Last Name, Relationship to student
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Your answer
Secondary Emergency Contact: First and Last Name, Relationship to Student
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Your answer
Person Allowed to Pick up Your child Full Name, Telephone Number and Full Relationship to student
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Your answer
Additional Person Allowed to Pick up Your Child : Full Name, Telephone Number and Relationship to Student:
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Your answer
Medical Information: Child's Primary Doctor, Address, Telephone Number
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Your answer
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