Student Enrollment

PLEASE COMPLETE THE ITEMS BELOW!

Student Full Name *

Grade Level *

Date of birth *

Address

Street Address

City

State

Country

Postal Code

Parent's Names *

Email *

Phone *

By checking this box, I consent to receive non-marketing text messages from Lake Arrowhead Sports Academy about academy programs and updates. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Lake Arrowhead Sports Academy at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Emergency Contact and Phone # *

Individuals Authorized for Pickup *

Previous School Attended and Grade Completed

Academic Strengths

Academic Areas of Improvement

Student Interests

List Allergies *

List Medications if applicable *

What to do in case of medical emergency *

LASA Program Fee & Financial Agreement

By checking and signing below, I have read, understand, and agree to the financial policy above. *

Agree

Parent Signature *

Clear

View/Download our Family Handbook

Please check below *

I acknowledge that I have received access to and reviewed the Lake Arrowhead Sports Academy Parent Handbook. I understand that I am responsible for reading and following the policies and procedures outlined in the handbook.

Confirmation Signature *

Clear