Returning Student Registration

LAB SCHOOL OF OKLAHOMA

2020 - 2021 Returning Student Registration (Please fill out completely)

Student

* Indicates required field

Date (mm/dd/yyyy) *

Student's Name (Last, First) *

First

Last

Name Used (if different) *

DOB (MM/DD/YYYY) *

SS# *

Choose One *

Male Female

School year you are registering for *

2020-2021 2021-2022

Other year enrolling for not listed above: *

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

SSN # *

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

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 *

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

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 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 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 semester and that I am still and will still be help accountable for this contract in its entirety when I enter into it. If I withdraw my student on or before July 15th of the upcoming school year after signing this contract and paying the registration fee, I will be responsible for the first three months payments. If I withdraw my student after July 15th, I understand that I am responsible for the full amount of tuition for the upcoming school year.

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 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 semester and that I am still and will still be help accountable for this contract in its entirety when I enter into it. If I withdraw my student on or before July 15th of the upcoming school year after signing this contract and paying the registration fee, I will be responsible for the first three months payments. If I withdraw my student after July 15th, I understand that I am responsible for the full amount of tuition for the upcoming school year. *

Agree Disagree

My Childs picture can be used in publications and online *

Agree Disagree

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)

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

Submit

Another Child? Submit Here

2020 - 2021 Returning Student Registration (Please fill out completely)

Student

Parent (Please fill out if changes)

Parent (please fill if changes)

Guardian (if applicable)

Emergency Contacts - OTHER THAN ANYONE LISTED ABOVE

Emergency Contact 1

Emergency Contact 2

Medical Information

Alternate Pick Up

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

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