Student Registration

Thank you for your interest in LEAD Academy.  If you have a student entering Kindergarten through 5th grades, you are invited to complete the registration form. Please understand this is not a formal enrollment. This is simply a way for you to let us know of your student’s interest in LEAD Academy. By filling out this form, you will be the first to know once we begin enrollment.

If you have any questions, please feel free to e-mail us at office@leadacademyal.com.

Thank you for your interest!

Student Information
Name *
Name
Date of Birth
Date of Birth
Permanent Address
Permanent Address
Cell Phone
Cell Phone
Home Phone
Home Phone
Work Phone
Work Phone
Does this applicant have siblings who attend LEAD Academy?
Does the student have any documented history of a criminal offense or juvenile court adjudication?
Parent or Guardian Information
Parent or Guardian Name *
Parent or Guardian Name
Parent or Guardian Signature *
By selecting yes, you are providing your digital signature on this form that all the information provided is correct. By signing this application, you agree to participate willingly with a strong level of involvement in your child's school and his/her education.
Date Signed *
Date Signed
LEAD Academy does not discriminate in admissions based on gender, national origin, ethnicity, religion, disability, academic, artistic, or athletic ability, or the district the child would otherwise attend.