New Student Registration

Name (Last, First) *

Email *

Primary Phone Number *

alternate phone *

OK to text primary phone? *

yes no

OK to text alternate phone? *

yes no

Address *

Line 1

Line 2

City

State

Zip Code

Country

SSN # *

Place of employment *

Relationship to Student *

Responsible for Mail? *

Yes No

Job Title *

Live with student? *

yes no

Responsible for Bill? *

Yes No

Parent 2

Guardian (if applicable)

Address of Living Grand Parent #1 *

Line 1

Line 2

City

State

Zip Code

Country

Address of Living Grand Parent #2 *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contacts - OTHER THAN ANYONE LISTED ABOVE

More Student Information

School last attended or currently attended *

Have you ever been, from any school.. *

suspended expelled asked to withdraw

Why do you want to transfer to LSO? *

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

Medical Information

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

Tylenol Ibuprofen Benadryl Other

Other medication LSO may administer *

Any allergies, medical problem or handicaps *

Preferred Hospital *

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

do do not

My student's doctor *

Doctor's Phone *

Alternate Pick Up

Parental Agreement

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 child; 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 agree and choose to pay my tuition in the following manner: *

yearly (August 1) each semester (August 1 / January 15) monthly (due the 5th of each month) semi- monthly (due the 1st and 15th of each month)

2019 - 2020 New Student Registration (Please fill out completely)

Student

Parent 1

Parent 2

Guardian (if applicable)

Emergency Contacts - OTHER THAN ANYONE LISTED ABOVE

Emergency Contact 1

Emergency Contact 2

More Student Information

Medical Information

Alternate Pick Up

Parental Agreement