Registration Form

M.O.T. Academy Registration Form
M.O.T. Registration Pack
  • Personal Information
  • Authorized Pick Up & Previous School
  • Emergency Contacts
  • Release of Liability
  • Medical Information
  • Financial Information
  • CC Authorization
  • Bank Authorization
  • Photo Waiver
  • Miscellaneous
  • Current Doctors
0% Complete
1 of 11

STUDENTS PERSONAL INFORMATION

MOTHER'S PERSONAL INFORMATION

Lives w student

Phone Numbers

FATHER'S PERSONAL INFORMATION

lives w student

Phone Numbers

GUARDIAN'S PERSONAL INFORMATION

lives w student

Phone Numbers

Parent Status *
In case of divorce or separation, who has legal custody of child
Is there a restraining order or legal issue *

If yes, Please submit a copy of the appropriate legal document(s) regarding this court order

CANNOT PICK UP CHILD AT SCHOOL
Translate / Traducir ยป
WordPress Appliance - Powered by TurnKey Linux