Enrollment Form for New Students

Welcome to the Ramalynn Academy Student Enrollment Form. If you have any questions or concerns, please feel free to reach out to the office at office@ramalynn.org or (952) 405-6772.

Required

Student Information

Student's Namerequired
First Name
Middle
Last Name
Must contain a date in M/D/YYYY format
School Day Optionsrequired
Extended Day Optionsrequired
My child will attend afterschool on the following days:requiredSelect 3 days.
Select 3 days.
What hours will your child attend school? Ex: 9:00 am - 3:00 pm
I have another child I would like to enrollrequired
Student 2's Namerequired
First Name
Middle
Last Name
Must contain a date in M/D/YYYY format
(Student 2) School Dayrequired
(Student 2) Extended Dayrequired
My child will attend afterschool on the following days:requiredSelect 3 days.
Select 3 days.
What hours will your child attend school? Ex: 9:00 am - 3:00 pm
I have a third child I would like to enrollrequired
Student 3's Namerequired
First Name
Middle
Last Name
Must contain a date in M/D/YYYY format
(Student 3) School Dayrequired
(Student 3) Extended Day required
My child will attend afterschool on the following days:requiredSelect 3 days.
Select 3 days.
What hours will your child attend school? Ex: 9:00 am - 3:00 pm

Medical Information

Parent/Guardian Information

Parent/Guardian 1required
First Name
Last Name
Please include the following in the private RMA parent directory:required
Is there a 2nd Parent/Guardian?required
Parent/Guardian 2required
First Name
Last Name
Is Parent/Guardian 2's address different than Parent/Guardian 1?required
Please include the following in the private RMA parent directory:required

Emergency Contact Info

First Emergency Contact Namerequired
First Name
Last Name
Second Emergency Contact Namerequired
First Name
Last Name
I authorize the above persons to act on my behalf if I cannot be reached in the case of an emergency.
Must contain a date in M/D/YYYY format

Waiver & Release

Media Release
 
Guardian Permission / Release Agreement: Staff takes pictures, slides and videos of children enjoying the activities for use at open house events, in scrap-books and RMA marketing materials.
I grant permission to use the name, pictures, and quotes of my child(ren) for the above purposes.​​​required
Waiver: I understand that participation in this activity or program is completely voluntary and that the activity or program being offered is for the benefit of the participant(s). Ramalynn Montessori Academy (RMA) shall not be liable for any claims, injuries, or damages, of whatever nature, incurred by the participant which are directly or indirectly attributable to the negligence, whether passive or active, of RMA, their agents or employees, arising out of, or in connection with, the activity or program. On behalf of myself and the participant(s), I expressly release and discharge RMA, their agents or employees from any such claims, injuries, or damages. I also understand this waiver includes any injuries that may result from the condition of the facilities used in the activity or program.
 

Data Privacy: The data supplied on this form will be used to enroll you in our program. Some requested data is private. It is available to you and RMA staff who need this information to perform their duties, but it is not available to the public. You are not legally required to provide this data, but RMA staff may not be able to complete your registration.

I understand and agree to the tuition payment plan and the school policies as explained above.

Must contain a date in M/D/YYYY format