Reenrollment Form 2012-2013
Uploaded by
Larry SheltonReenrollment Form 2012-2013
Uploaded by
Larry SheltonHarmony School of Advancement
3171 N Sam Houston Pkwy W, Houston TX, 77038 * Tel: 281-741 8899 * Fax: 281-741 8006
Date: January 11, 2012
RE: Re-enrollment form Dear Parent(s); Thank you for your support in Harmony School of Advancement. Due to limited space for the upcoming year, we ask each parent/guardian to fill out the attachment form completely and return it to the front office. This form is designed for currently enrolled students. The closing date for this application is January 27, 2012. Applications received unsigned, incomplete, or after the closing date may not be considered for next year. Please do not send the form with the student.
Sincerely, Mr. Yilmaz, Principal Harmony School of Advancement
Harmony School of Advancement
3171 N Sam Houston Pkwy W, Houston TX, 77038 * Tel: 281-741 8899 * Fax: 281-741 8006
Fecha: 1/11/2012
RE: Formas de Re-inscripcin Estimado(s) Padre(s); Gracias por su apoyo a Harmony School of Advancement. Debido al limitado espacio para el ao entrante, le pedimos a cada padre/tutor que llene completamente la forma adjunta. Esta forma est diseada para los alumnos que actualmente estn registrados. La fecha lmite para esta solicitud es el 27 de enero, 2012. Las solicitudes que se reciban sin firmar, incompletas o despus de la fecha lmite de entrega, pudieran no ser consideradas para el ao entrante. Por favor no enve la forma con el nio(a).
Sinceramente, Mr. Yilmaz, Director Harmony School of Advancement
Harmony School of Advancement
3171 N Sam Houston Pkwy W, Houston TX, 77038 * Tel: 281-741 8899 * Fax: 281-741 8006
APPLICATION FOR RE-ENROLLMENT FOR THE ACADEMIC YEAR 2012-2013 Deadline: January 27, 2011 (Friday)
DEAR PARENTS AND APPLICANT:
Thank you for your support in HARMONY SCHOOL OF ADVANCEMENT. Due to limited space for the upcoming year, we ask each parent/guardian to fill out this re-enrollment form completely. This application form is designed for currently enrolled students. The closing date for this application is Friday, January 27, 2012. Applications received unsigned, incomplete, or after the closing date may not be considered for next year.
FOR OFFICE USE ONLY
Date Application Received: _________ Application #:
Please either type or print clearly using black or blue ink.
Students name:
(Last)
Grade/Section:
(First) (Middle)
Parent/Guardians Name: _________________________, _______________________ ________________________ Guardians relationship to student: Student lives with: Mother Mother Father Sister/Brother Father Both Other: ________________ Other: ________________
Permanent Address: __________________________________________________________________ (Street & House/Apt. No.) __________________________________________________________________ (City) (State) (Zip Code) Phone: ( )_____________________ (Home) ( )____________________ (Work) ( )_____________________ (Other)
Cellular: (
)___________________ Fax: (
)____________________ E-mail: ____________________
We/I, the undersigned, hereby certify that, to the best of our/my knowledge and belief, the answers to the foregoing questions and statements made by us/me in this application are complete and accurate. We/I understand that any false information, omissions, or misrepresentations of facts may result in rejection of this application or future dismissal of the applicant. _______________________________ Name of Parent or Guardian __________________________ Signature of Parent or Guardian ___________________________ Date
Please bring, mail or fax the completed application to: Ms. Laura Reyes (HARMONY SCHOOLOF ADVANCEMENT) 3171 N. Sam Houston Pkwy W, TEXAS 77038 Phone: (281) 741-8899 Fax: (281) 741-8006 Email: [email protected] WEB: www.hsaadvancement.org
If you do not want your child re-enrolled in our school, please check the box below and sign:
I do not want my child re-enrolled in Harmony School of Advancement for 2012-2013 due to following reason ____ Transportation ____ Moving ____ Accepted to another school ____ Other; please explain in a few words; ____________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________
______________________________
Parent Signature
____________________
Date
Harmony School of Advancement admits students without regard to race, color, religion, gender, national and ethnic origin, or the presence of a medical condition or disability.