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School
PreK-8th Grade Program
School Life
Testimonials
Admissions Application
Tuition & Fees
Alumni Connection
Parent Portal
Summer Camp
Overview
Sign Up
More Info
Calendar & Events
Recent News
History & Philosophy
Meet The Team
FAQs
Forms Folder
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Enrollment Form and Release Waiver
A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.
Legal Guardian First Name
Last Name
Relationship
Cell Phone
Work Phone
Email Address
Address Line 1
Address Line 2
City
State
ZIP
Add Another Guardian's Contact Info?
Yes
Guardian 2 Full Name
Phone
Email
Relationship
Address Line 1
Address Line 2
City
State
ZIP
Number of Children
1
2
3
4
5
Child Name
Date of Birth
Grade
Medical Conditions
Allergies
Child 2's Name
Date of Birth
Grade
Medical Conditions
Allergies
Child 3's Name
Date of Birth
Grade
Medical Conditions
Allergies
Child 4's Name
Date of Birth
Grade
Medical Conditions
Allergies
Child 5's Name
Date of Birth
Grade
Medical Conditions
Allergies
Pediatrician & Phone #:
Additional Email Addresses To Receive School Emails
Additional Emergency Contacts
Anything Else We Need To Know
Medical Release:
As a parent and/or guardian, I do herewith authorize medical treatment of the above-named minors in the event of an emergency which may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. I understand by signing this form that, unless I expressly notify Jordan Glen, I am giving Jordan Glen permission to administer first aid and such over-the-counter remedies to my child, including but not limited to Ibuprofen and Benadryl, for his/her comfort. This release form is completed and signed of my own free will with the purpose of authorizing treatment under medical circumstances in my absence.
YES, my child(ren) can be given medical care as needed.
NO, my child(ren) can NOT be given medical care as needed.
Blanket Field Trip Permission:
I give permission for my child(ren) to ride in a chaperone’s vehicle to all Jordan Glen field trips in the event that a specific field-trip permission slip is not returned to school. I will make every effort to send in the necessary fee (if applicable) as soon as possible. I understand that if I do not approve this blanket permission slip and I do not send in the specific permission slip for a field trip, my child will not be allowed to attend the field trip.
YES, I give my child(ren) permission to go on field trips.
NO, I do not give my child(ren) permission to go on field trips.
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