Intent to Enroll Form - High Point Academy

Parent/Legal Guardian Information

Name*

First Last

Relationship to Child*

Address*

Street Address City State ZIP Code

Phone*

Email*

Additional Parent or Guardian

First Last

Relationship to Child

Phone

Who has guardianship of the student?*

Student Information

Student First Name*

Student Middle Name (Use NMN for no middle name)*

Student Last Name*

School Student is Currently Attending*

Why are you choosing High Point Academy for your child(s) education?*

Student Gender*

Male
Female

Student Birthdate*

School Year to Begin HPA*

2024-2025
2025-2026

Grade level to begin HPA*

Has this student ever attended High Point Academy before?*

Yes
No

Does the student have a brother or sister that currently attends High Point Academy?*

Yes
No

Please give the sibling's name and grade level.

Disclaimer*

The below questions will not effect your student's candidacy for enrollment. A student's enrollment, however, is subject to review at any time if any of the below questions are filled out inaccurately.

I give High Point Academy permission to request my child's student records from their current/previous school once my child has been accepted.*

I certify that all of the information that I provided in this form about my child is accurate and correct. I understand that any false information can effect my child's enrollment at High Point Academy.*

How did you hear about High Point Academy?*

If you were referred by a HPA family or staff member, please give their name (if this does not apply to you, mark N/A):*