New Student Registration

LAB SCHOOL OF OKLAHOMA

New Student Registration
(Please fill out completely and PRESS SAVE)

DO NOT USE YOUR PHONE - IT WILL NOT GO THROUGH
Enrollment is NOT complete until you have received a confirmation email from our offices and all forms are returned.

Student

* Indicates required field

Date (mm/dd/yyyy) *

Student's Name (Last, First) *

First

Last

Name Used (if different) *

DOB (MM/DD/YYYY) *

Choose One *

Male Female

School year you are registering for *

2022-2023 2023-2024

Other year enrolling for not listed above: *

Grade Entering *

Extended Care Option *

Parent 1

Name (Last, First) *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Primary Phone Number *

OK to text primary phone? *

yes no

alternate phone *

OK to text alternate phone? *

yes no

Relationship to Student *

Live with student? *

yes no

Responsible for Bill? *

Yes No

Place of employment *

Job Title *

Responsible for Mail? *

Yes No

Parent 2 (or other responsible party)

Name (Last, First) *

Relationship to student *

Email *

Address (if different) *

Line 1

Line 2

City

State

Zip Code

Country

Responsible for Mail? *

yes no

Responsible for Bill *

yes no

Live with Student *

yes no

Primary Phone Number *

OK to text primary phone? *

yes no

Alternate Phone Number *

OK to text alternate phone? *

yes no

Place of Employment *

Relationship to Student *

Name of Grandparent #1 *

Address of Living Grand Parent #1 *

Line 1

Line 2

City

State

Zip Code

Country

Name of Living Grand Parent #2 *

Address of Living Grand Parent #2 *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contacts - OTHER THAN ANYONE LISTED ABOVE

Emergency Contact 1

Name (Last, First) *

Relationship to Student *

Phone Number *

Emergency Contact 2

Name (Last, First) *

Relationship to Student *

Phone Number *

More Student Information

Are you applying for admission for all your family children eligible for Lab School? If not, why? *

Please describe your student's interests, talents, and abilities (physical, mental, artistic, musical, social, etc.) *

How did you her about Lab School? *

School last attended or currently attended *

Have you ever been, from any school.. *

suspended expelled asked to withdraw none of the above

Why do you want to attend LSO? *

Medical Information

If needed, the school may administer the following to my child *

Tylenol Ibuprofen Benadryl Other (please list below)

Other medication LSO may administer *

Any allergies, medical problem or handicaps *

Preferred Hospital *

My student's doctor *

Doctor's Phone *

I authorize any such treating physician or medical personnel to administer blood or blood products to my child. *

do do not

Does your child have any mental diagnosis or issues that we need to be made aware of? *

Alternate Pick Up

Alternate Pick Up #1 Name: *

Alt. Pick UP #1 Phone Number *

Alternate Pick up #2 Name: *

Alt. Pick up #2 Phone Number *

alternate Pick up #3 Name: *

Alt. Pick up #3 Phone Number *

How did you hear about us? *

Please provide 3 non-family References (example: tutor, teacher, church)

Reference #1 *

First

Last

Email *

Phone Number *

Reference #2 *

First

Last

Email *

Phone Number *

Reference #3 *

First

Last

Email *

Phone Number *

Parental Agreement (restated below smaller)

My child has my permission to participate in all activities, including off campus field trips. I understand and agree that Lab School may publish my child's pictures and directory information in school publications, including online, throughout the school year. If you do not want this information published, check the appropriate box below.
Being aware that Lab school of Oklahoma negotiates contracts with teachers, support personnel, vendors and services for the entire year based on the registration of my student(s); I understand that this is a contractual agreement and I hereby assume full responsibility for the payment of all tuition and fees due to the school. I am also aware that I am entering into this contract in the middle of a national pandemic and that this virus is not new. That this virus has been present for more than a year and that I am still and will still be held accountable for this contract in its entirety when I enter it. When re-enrolling, after signing this contract electronically and or on paper, I understand I am legally and financially responsible for the entire school year knowing the program I am continuing with having already been enrolled previously. I understand teachers and classes have not been assigned or announced for the upcoming year and have no bearing on this contract. If a new family is enrolling for the first time, after signing this contract electronically and or on paper, if I withdraw my student on or before June 1st of the current school year after signing this contract, I will be responsible for the first three months' tuition. If I withdraw my student after June 1st, I understand that I am responsible for the full amount of tuition and fees for the upcoming school year. In case Lab School of Oklahoma must seek legal assistance through an attorney, or litigation involving the Contract, the prevailing party shall be entitled to reimbursement from the losing party for its reasonable attorney’s fees, together with court costs and other out-of-pocket expenses incurred in any such action or proceeding.

My child has my permission to participate in all activities, including off campus field trips. I understand and agree that Lab School may publish my child's pictures and directory information in school publications, including online, throughout the school year. If you do not want this information published, check the appropriate box below. Being aware that Lab school of Oklahoma negotiates contracts with teachers, support personnel, vendors and services for the entire year based on the registration of my student(s); I understand that this is a contractual agreement and I hereby assume full responsibility for the payment of all tuition and fees due to the school. I am also aware that I am entering into this contract in the middle of a national pandemic and that this virus is not new. That this virus has been present for more than a year and that I am still and will still be held accountable for this contract in its entirety when I enter it. When re-enrolling, after signing this contract electronically and or on paper, I understand I am legally and financially responsible for the entire school year knowing the program I am continuing with having already been enrolled previously. I understand teachers and classes have not been assigned or announced for the upcoming year and have no bearing on this contract. If a new family is enrolling for the first time, after signing this contract electronically and or on paper, if I withdraw my student on or before June 1st of the current school year after signing this contract, I will be responsible for the first three months' tuition. If I withdraw my student after June 1st, I understand that I am responsible for the full amount of tuition and fees for the upcoming school year.In case Lab School of Oklahoma must seek legal assistance through an attorney, or litigation involving the Contract, the prevailing party shall be entitled to reimbursement from the losing party for its reasonable attorney’s fees, together with court costs and other out-of-pocket expenses incurred in any such action or proceeding. *

Agree

My Childs picture can be used in publications and online *

Agree Disagree

I AGREE AND CHOOSE TO HAVE MY TUITION AND FEES WITHDRAWN IN THE FOLLOWING MANNER AS CHOSEN EITHER FROM MY BANK ACCOUNT OR MY CREDIT CARD ON MY ACH OR CREDIT CARD AUTHORIZATION FORM *

yearly (August 1) each semester (August 1 / January 11) monthly (due the 1st of each month) semi - monthly (due the 1st and 15th of each month beginning July 15th)

Preference for tuition and fee withdraw *

ACH CREDIT CARD

By submitting this form I am agreeing to all of it's contents and entering into a contractual agreement.

Submit

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Another Child? Submit Here