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ADDRESS
PHONE

8624 A D Mims Road

Orlando, FL 32818

(407) 292 - 8481
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STUDENT

APPLICATION

Download the Student Application Package sign and upload at the end of application

Sex

FAMILY

Marital Relationship (check all that apply)

Natural Parents Are:
If student does not live with natural father and mother, student lives with:
If there are other children in your family, please complete the following:

Emergency Contact

School History

List all school previously attended (including West Oaks Academy if previously enrolled)
Has your child ever been

Health

Complete health records on Florida form 680 must be received as a part of the application. A recent physical exam is also required for all kindergarten students and all new students to the state of Florida. If you are a Florida resident, an original form from your doctor or photocopy from your school record is acceptable. If you are applying from another state, please download the instruction sheet regarding Health Records

Is there any medical reason the applicant cannot participate in the physical education program?
Has your child had Chicken Pox?
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