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Home
Admissions
Gala
Home School Options
Parent Portal
Childcare
About
- Philosophy
Contact Us

Admissions Form (TEST)

Students Information

This application is for: *

Reenrollment
New enrollment

Students Name: *

First

Middle

Last

Students Sex: *

Male
Female

Student's Birthday: *

Grade level for 2022-2023 school year: *

Has this child been baptized: *

Yes
No

Date baptized:

Where was baptism administered (Please give denomination of church/minister)

Has this child had any specialized academic or psychological testing: *

Yes
No

Please describe any specialized academic or psychological testing:

Are there any specific concerns like allergies, custody issues,: *

Yes
No

Please describe any allergies, custody issues:

Students Birth Certificate:

Click or drag a file to this area to upload.

Please upload a PDF copy of the Students Birth Certificate.

Students Immunization Records:

Click or drag a file to this area to upload.

Please upload a PDF copy of the Students Immunization Records.

Parent 1 Information

Parent 1 Roll: *

Father
Mother

Parent 1 Notification: *

Notify 1st
Notify 2nd

Parent 1 Name: *

First

Last

Parent 1 Email: *

Email

Confirm Email

Parent 1 Mobile Phone: *

Parent 1 Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Parent 2 Information

Parent 2 Roll:

Father
Mother

Parent 2 Notification:

Notify 1st
Notify 2nd

Parent 2 Name:

First

Last

Parent 2 Email:

Email

Confirm Email

Parent 2 Mobile Phone:

Parent 2 Address:

Address Line 1

Address Line 2

City

State

Zip Code

Additional Information and Authorizations

Besides listed parents is anyone else authorized to pickup your child? *

Yes
No

Number of Authorized to Pickup

Selected Value: 1

Please pick the number people authorized to pickup your child

Authorized PICKUP:

List name, relationship, address, and mobile phone numbers for ALL people authorized to pick up your child from TLS. Your child will not be released to anyone not listed unless you call or send a note to your child's teacher. We will ask for identification.

Authorized PICKUP 1 Name:

First

Last

Authorized PICKUP 1 Mobile Phone:

Authorized PICKUP 1 Relationship:

Authorized PICKUP 1 Address:

Address Line 1

Address Line 2

City

State

Zip Code

Authorized PICKUP 2 Name:

First

Last

Authorized PICKUP 2 Mobile Phone:

Authorized PICKUP 2 Relationship:

Authorized PICKUP 2 Address:

Address Line 1

Address Line 2

City

State

Zip Code

Authorized PICKUP 3 Name:

First

Last

Authorized PICKUP 3 Mobile Phone:

Authorized PICKUP 2 Relationship:

Authorized PICKUP 3 Address:

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contacts

List name, address and mobile phone number of three (3) persons that TLS can contact in case of emergency IF parents are not available, in order of priority:

Emergency Contact 1 Name: *

First

Last

Emergency Contact 1 Mobile Phone: *

Emergency Contact 2 Name: *

First

Last

Emergency Contact 2 Mobile Phone: *

Emergency Contact 3 Name:

First

Last

Emergency Contact 3 Mobile Phone:

Medical Contacts

Medical Doctor Name:

First

Last

Medical Doctor Phone:

Dentist Name:

First

Last

Dentist Phone:

Authorization for EMERGENCY MEDICAL CARE:

If sudden illness or serious medical emergency should occur and I (parent/guardian) can not be reached, I hereby authorize the person in charge to call my child's physician or dentist or take my child to the nearest emergency medical facility.

Name *

First

Last

Date

Signature

Clear Signature

Save and Resume Later

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternately, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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Email *

307-635-2802
[email protected]
1111 E 22nd St. Cheyenne, WY 82001