Enrollment Application Form 2021/2022 - Legacy Learning Center

Procedure

Submit application and NON-REFUNDABLE Application fee of ($100.00 for New students) and ($50 for returning students) per child to Legacy Learning Center.
Copy of CURRENT and Up-to-date Immunization Records, Copy of Birth Certificate, signed medical authorization form, Internet form (K-12), and home language survey form must be submitted with application.
All new students must meet with Legacy) Administration (Academic Comity. Students transferring to Legacy Learning Center in Grades 1stand UP, must send school records (including grades, standardized tests, IEP/modifications and disciplinary records), and a placement test PRIOR to Legacy administration making a determination about acceptance into the school.
Payment of Commitment Fee and returned and signed Enrollment Contract is required to reserve a position in the classroom.
Please type clearly and legibly in all required fields.
Legacy Learning Center Administration reserves the right to decline admission of returning/incoming students based on non-payment of tuition/fees, academic performance, and/or disciplinary issues.

Application Fee*

New Student (100$)

Returning Student (50$)

Parent/Guardian (1)

First Name*

Last Name*

Middle Name

Home Telephone #*

Cell #*

Social Security Number*

Home Address*

Email*

Student Information

Student

.First Name*

.Last Name*

.Middle Name

Date of Birth*

Place of Birth*

Current Grade Level*

ANY SPECIAL NEED (IEP)? *

Yes

No

Please Explain (if Yes):

Home Address.*

Parent/Guardian (2)

First Name.

Last Name.

Middle

Cell #.

Social Security Number.

Home Address if different

Email.

School District Information

Resident School District Name

Current School

Current School Phone #

Current School Address

Current School Fax #

Student Records

Legacy Learning Center considers the records of all individual students to be confidential information. Student records will be released ONLY to other schools or agencies upon receipt of a written request from a parent or guardian and after all outstanding fees, dues, and tuition accounts have been paid in full.
Notice of Nondiscriminatory Policy as to Students:
Legacy Learning Center admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the center. The Center does NOT discriminate on the basis of race, color, national and ethnic origin in administration of its education policies, academic policies, and athletic and other school administered programs.

Procedure

Parent/Guardian Information

Student Information

School District Information

Student Records