Spark Charter School
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    Spark Charter School
    Fall 2015

    KINDERGARTEN Registration
    STUDENT INFORMATION
    Student's Name
    Spark will transfer all basic data from  your application for this student.  
    Please provide the additional enrollment information below
    HEALTH CARE PROVIDERS
    Primary Care Physician

    Dentist
    EMERGENCY CONTACT #1
    (Other than parents)


    EMERGENCY CONTACT #2
    (Other than parents)

    IMPORTANT: In order to complete the registration process, you must mail a copy of the following to: 

                      Spark Charter School--Student Registration  
                      PO Box 60416  
                      Sunnyvale, CA 94088


    Due now:
    1. Proof of age: copy of birth certificate or passport for the student
    2. Proofs of residency (in-district applicants only):
                     a. One of the following: Rental agreement, lease, monthly mortgage payment, or property tax bill showing name and address
                     b. One of the following: PG&E, water, cable, or phone bill showing name and address


    Due May 31, 2015:
    1. Signed release to transfer student records (to be provided)

    Due July 31, 2015:
    1. Kinders only: Report of health exam, including TB risk assessment (click here for health form.  Click here for requirements)
    2. Kinders only: Oral health exam (click here for form.  Forma en espanol)
    3. Signed fingerprint / background check release form for designated parent volunteer(s) (to be provided)

    Due from parents before the start of volunteering (Please provide by August 31st):
    1. Picture ID
    2. Proof of fingerprint / background check.
    3. Proof of negative TB test (valid for 4 years)
    4. Proof of adequate auto insurance for each anticipated field trip driver (minimum $100,000 per occurance)
Register
Spark Charter School                     PO BOX  60416, Sunnyvale, CA 94088             info@SparkCharter.org / 209-806-3045