Home / Sequoia Pathfinder Academy at Eastmark Pre-Registration Form Sequoia Pathfinder Academy at Eastmark Pre-Registration Form STUDENT INFORMATION What school would you like to pre-enroll the student into? American Heritage Academy - Camp Verde American Heritage Academy - Cottonwood Arizona Conservatory for Arts and Academics - Elementary Arizona Conservatory for Arts and Academics - Secondary Children First Leadership Academy George Washington Academy KELLY Program Sequoia Charter Schools Elementary Sequoia Charter Schools Secondary Sequoia Choice (Arizona Distance Learning) Sequoia Choice Precision School Sequoia Deaf School Sequoia Lehi Sequoia Pathfinder Academy Sequoia Pathfinder Academy at Eastmark Sequoia Pathway Academy - Elementary Sequoia Pathway Academy - Secondary Sequoia Village Elementary School Sequoia Village High School Student's Legal Name (Last, First, Middle): Birth State: Today's Date: Home Address: City: State: Zip: (Choose One) Male Female Home Phone Number Birth Date (Month, Day & Year) Language Spoken at Home: SAIS # (if known): Hispanic/Latino?: No Yes Tribe (if Native American): Ethnic Origin: (Select all that apply) White Black or African American Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Other Last School Attended: Address of Last School: Grade This School Year (2016-2017): Expected Grade Next Year (2017-2018): Are you enrolling for the current semester or a future semester?: Yes, pre-register the student for the current semester No, pre-register the student for next semester Where did you hear about Sequoia Schools?: Did Student Receive Special Education Services at Previous School? YES NO If Yes, Date of Last I.E.P.: Has Student Been Suspended or Expelled from any School? YES NO If Yes, Date & School: FAMILY INFORMATION Parent / Legal Guardian (Last, First, Middle): Father/Mother/Other (Specify Please): Place of Employment: Email Address: Home Phone Number: Work Phone Number: Cell Phone Number: Parent / Legal Guardian (Last, First, Middle): Father/Mother/Other (Specify Please): Place of Employment: Email Address: Home Phone Number: Work Phone Number: Cell Phone Number: Please list all other schools your child has attended. NAME OF SCHOOL ADDRESS 1. What is the primary language used in the home regardless of the language spoken by the student? 2. What is the language most often spoken by the student? 3. What is the language that the student first acquired? SIGNATURE OF THE PARENT OR GUARDIAN DATE For additional information, please consult the enrollment packet and instructions below or visit the contact us page.