CHILDREN of PURPOSE
PRE-ENROLL YOUR CHILD FOR
*2021-2022 Before/After Care
*2021-2022 Instructional Learning
**PLEASE FILL OUT ALL INFORMATION BELOW**
*Someone will contact you with the next 2 business days
* Include any ADDITONAL Information that you feel as though we should know.
**See Flyer Below**
You may print and fill out forms to bring in during your tour.
CD-51 CHILD HEALTH ASSESSMENT
CY-867 EMERGENCY CONTACT / PARENTAL CONSENT FORM
*Immunization Form and Physical Form
Your child/children will not be permitted to start without the listed items on file.
Children must have on file an updated immunization record, health appraisal,
and all registration materials by their first day of enrollment.
Allow us to provide Instructional Support to your child/children in Grades 1-12. We will be able to enforce all CDC Guidelines as well as the Governor's orders. There will be temperature checks, social distancing barriers, and limited access to the building.
This option of learning is available to parents who are unable to provide instructional support to their children during regular school hours implemented by their current School District. For the parents that do not want their child/children to return to their previous school, distance learning will be offered through Pennsylvania Leadership Charter School.
**Fill out the Instructional Learning Inquiry Form below and be sure to include your child's Current/Previous School and grade.**
PRE ENROLLMENT FOR
IN THE MESSAGE BOX :
**PLEASE INCLUDE WHAT PROGRAM YOUR CHILD WILL BE USING**
**PLEASE INCLUDE GRADE AND SCHOOL YOUR ATTEND*