Returning Student Registration

LAB SCHOOL OF OKLAHOMA

Returning Student Registration (Please fill out completely)

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) *

Primary Guardian Name *

First

Last

Phone Number *

Email *

Student's Name *

First

Last

Name Used (if different) *

DOB (MM/DD/YYYY) *

Choose One *

Male Female

School year you are registering for *

2023-2024

GRADE ENTERING *

Extended Care Option *

Parent (Please fill out if changes)

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 (please fill if changes)

Name (Last, First) *

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

SSN# *

Place of Employment *

Relationship to Student *

Guardian (if applicable)

Name (Last, First) *

Email *

Relationship to Student *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

OK to text? *

yes no

Occupation *

Employer *

Job Title *

Work Phone *

OK to text work phone? *

yes no

Live with student? *

yes no

Responsible for mail? *

yes no

Responsible for bill? *

yes no

Name of Living Grand Parent #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 *

How did you her about Lab School? *

Medical Information

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

Tylenol Ibuprofen Benadryl Other

Other medication LSO may administer *

Preferred Hospital *

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

do do not

Any allergies, medical problem or handicaps *

My student's doctor *

Doctor's Phone *

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 *

Parental Agreement
(stated again smaller with the agree/disagree box for printing purposes)

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 WITHDRAW CREDIT CARD

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

Submit

MAKE SURE TO HIT SUBMIT ABOVE BEFORE ADDING A SECOND CHILD

Another Child? Submit Here