ENROLLMENT

Apply to 180 Degrees Academy

Complete the application form below to begin the admissions process for the school year. Our admissions team will review your application and contact you with next steps.

Student’s First and Last Name*

Student’s Date of Birth*

Age:*

Gender*

Address*

City*

State*

Zip Code*

Parent’s First and Last Name*

Relationship to Student*

Phone Number (Home)*

Phone Number (Work)

Email*

Emergency Contact Name*

Emergency Contact Phone Number*

Physician Name*

Physician Phone*

Allergies*

Medication*

Health Concerns/ Special Needs

Last School Attended*

Grade Completed*

Dates Attended*

Reason for Transfer/Enrollment*

Upload Files

Permissions & Agreements

I give permission for my child to receive emergency medical treatment if necessary

I grant permission for my child’s photos/videos to be used in school communications/marketing.

I understand and agree to abide by the policies of 180 Degrees Academy

Signature( Print Name)*