Spark Charter School
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Spark Charter School
Mid-Year Registration Grades 1-6
*
Indicates required field
Do you wish to accept your offer to enroll this student?
*
Yes
No
Parent Name
*
First
Last
Parent Email
*
STUDENT INFORMATION
Student's Name
First
*
Middle
*
Last
*
Spark will transfer all basic data from your application for this student.
Please provide the additional enrollment information below
Last School Attended
*
City
*
District
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Does this student have any serious allergies?
*
Yes
No
If yes, please list
*
Does student require any medications, such as an Epipen, to be kept in the school office?
*
Yes
No
HEALTH CARE PROVIDERS
Primary Care Physician
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Insurance Provider
*
Insurance ID #
*
Dentist
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
EMERGENCY CONTACT #1
(Other than parents)
Name
*
First
Last
Relationship to student
*
Home Phone
*
Cell Phone
*
Work Phone
*
Email
*
EMERGENCY CONTACT #2
(Other than parents)
Name
*
First
Last
Relationship to student
*
Home Phone
*
Cell Phone
*
Work Phone
*
Email
*
IMPORTANT: In order to complete the registration process, you must bring a copy of the following to the Spark office. We are located at 739 Morse Ave., Sunnyvale near the preschool at the south end of the campus.
Copy of birth certificate or passport for the student
Proof of current immunizations (click
here
for requirements)
For students
NOT
enrolled in Sunnyvale School District during for 2014-15 (i.e. new Sunnyvale residents, students previously enrolled in private school):
Proofs of residency
a
. Parent's CA driver's licence, consulate ID, or passport
b. One of the following: Rental agreement, lease, monthly mortgage payment, or property tax bill showing name and address
c. One of the following: PG&E, water, cable, or phone bill showing name and address (dated within 45 days)
d. One of the following: Car registration, payroll document, tax document, or bank statement showing name and address.
4
. Signed release to transfer student records
Click here for form
Due from parents before the start of volunteering:
Picture ID
Proof of fingerprint / background check.
Proof of negative TB test (valid for 4 years) or TB risk assessment form from doctor
Proof of adequate auto insurance for each anticipated field trip driver (minimum $100,000 per occurrence)
Register