You can always press Enter⏎ to continue
Shanél Valley Academy Online Enrollment Application for 2022-2023 School Year
Welcome to our online enrollment process. Information such as emergency contacts, medical, and language information will be collected about your students(s). Each student must be enrolled separately. 
37Questions
Language
  • English (US)
  • 1
    Please review the Terms of Use and click "I agree" to continue. Please read this document and make sure you understand it. It explains our commitment to protecting the privacy and security of the information gathered by Shanél Valley Academy’s (“SVA”) online registration system, how the information is used, and with whom the information is shared. NOTICE: By continuing to use this system you will be deemed to have accepted these Terms of Use. Maintaining the privacy of your family's personal information is at the core of our business. We are committed to taking appropriate measures to maintain the privacy of the information you submit to us. We will not sell or rent your information to anyone, or let anyone use it except if you have authorized its use. We are especially sensitive to the need to protect information concerning children. Protecting the identity and privacy of children is an important undertaking and a high priority for SVA. Only those SVA employees, consultants, or Board Members who need the information you have provided to the database to perform their job responsibilities are authorized to have access to your stored information. We at SVA understand that the information you store in the online registration database is of the highest value to you and must be secure at all times. We protect your information when it is received by and sent from our database by encrypting the data. In addition to the system architecture and network design features in place, we also control physical access to your information.   Access to the system is a privilege, not a right. Intentional misuse or alteration of the student record that is intentionally false or inaccurate could lead to your account termination without notice. SVA monitors its network and systems for signs of unauthorized access. We have taken care to provide a high degree of security, but there is no perfect system either online or offline. If you suspect any violation of security on this system, please immediately notify us at info@shanelvalleyacademy.com. All matters referred to us will be promptly investigated.
    Press
    Enter
  • 2
    • Jr.
    • Sr.
    • I
    • II
    • III
    • IV
    • V
    • Male
    • Female
    • Nonbinary
    Press
    Enter
  • 3
    Yes
    • Yes
    • No, use a different address for mail.
    Press
    Enter
  • 4
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 5
    Please enter the student's birthdate.
    Press
    Enter
  • 6
    Kindergartners must be 5 years old by September 1st, 2022 in order to be eligible for Kindergarten. Students who turn 5 years old between September 2nd, 2022 and June 30th, 2023 are eligible to enroll in Transitional Kindergarten. All new enrollees must have current immunizations as required by law. Public schools no longer accept immunization exemptions based on personal beliefs for children.
    Press
    Enter
  • 7
    The following questions are required by federal law. (A two-part question must be used to collect data about students’ race and ethnicity. The U.S. Department of Education (ED) requires these standards for federal education eligibility and accountability reports. The California Department of Education (CDE) is also requiring local educational agencies (LEAs) and schools to collect and report data consistent with these federal requirements.)
    Press
    Enter
  • 8
    The following questions are required by federal law. (A two-part question must be used to collect data about students’ race and ethnicity. The U.S. Department of Education (ED) requires these standards for federal education eligibility and accountability reports. The California Department of Education (CDE) is also requiring local educational agencies (LEAs) and schools to collect and report data consistent with these federal requirements.)
    Press
    Enter
  • 9
    The California Education Code requires schools to determine the language or languages spoken at home by each student. Please answer the following questions by selecting the appropriate language.
    • English
    • Spanish
    • Mandarin
    • Chinese
    • Arabic
    • German
    • French
    • Native American
    • Other
    • English
    • Spanish
    • Mandarin
    • Chinese
    • Arabic
    • German
    • French
    • Native American
    • Other
    • English
    • Spanish
    • Mandarin
    • Chinese
    • Arabic
    • German
    • French
    • Native American
    • Other
    • English
    • Spanish
    • Mandarin
    • Chinese
    • Arabic
    • German
    • French
    • Native American
    • Other
    Press
    Enter
  • 10
    Please provide information about parents/guardians who live with the student. Information about parents/guardians who do not live with the student will the collected in the next step.
    Select Relationship
    • Mother
    • Father
    • Step-Mother
    • Step-Father
    • Foster Mother
    • Foster Father
    • Guardian
    • Brother
    • Sister
    • Aunt
    • Uncle
    • Grandmother
    • Grandfather
    • Court-Appointed Guardian
    • Family Friend
    • Social Worker
    • Yes
    • No
    • Yes
    • No
    Select Education Level
    • Not High School Graduate
    • High School Graduate
    • Some College (Includes AA Degree)
    • College Graduate
    • Grad School / Post Grad School
    Press
    Enter
  • 11
    Mail will be sent to the student's home address, however a second copy of mail can be sent to an additional address.
    Press
    Enter
  • 12
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 13
    Please provide information about parents/guardians who live with the student. Information about parents/guardians who do not live with the student will the collected in the next step.
    Select Relationship
    • Mother
    • Father
    • Step-Mother
    • Step-Father
    • Foster Mother
    • Foster Father
    • Guardian
    • Brother
    • Sister
    • Aunt
    • Uncle
    • Grandmother
    • Grandfather
    • Court-Appointed Guardian
    • Family Friend
    • Social Worker
    • Yes
    • No
    • Yes
    • No
    Select Education Level
    • Not High School Graduate
    • High School Graduate
    • Some College (Includes AA Degree)
    • College Graduate
    • Grad School / Post Grad School
    Press
    Enter
  • 14
    Mail will be sent to the student's home address, however a second copy of mail can be sent to an additional address.
    Press
    Enter
  • 15
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 16
    Is there an individual who is restrained from contact with this student by court decree?
    Press
    Enter
  • 17
    Please provide information about parents/guardians who live with the student. Information about parents/guardians who do not live with the student will the collected in the next step.
    • Mother
    • Father
    • Step-Mother
    • Step-Father
    • Foster Mother
    • Foster Father
    • Guardian
    • Brother
    • Sister
    • Aunt
    • Uncle
    • Grandmother
    • Grandfather
    • Court-Appointed Guardian
    • Family Friend
    • Social Worker
    • Other
    Press
    Enter
  • 18
    Please provide at least two emergency contacts and up to four emergency contacts other than the parent/guardian entered on the previous screens.
    Select Relationship
    • Mother
    • Father
    • Step-Mother
    • Step-Father
    • Foster Mother
    • Foster Father
    • Guardian
    • Brother
    • Sister
    • Aunt
    • Uncle
    • Grandmother
    • Grandfather
    • Court-Appointed Guardian
    • Family Friend
    • Social Worker
    • Yes
    • No
    • Yes
    • No
    Press
    Enter
  • 19
    Please provide at least two emergency contacts and up to four emergency contacts other than the parent/guardian entered on the previous screens.
    Select Relationship
    • Mother
    • Father
    • Step-Mother
    • Step-Father
    • Foster Mother
    • Foster Father
    • Guardian
    • Brother
    • Sister
    • Aunt
    • Uncle
    • Grandmother
    • Grandfather
    • Court-Appointed Guardian
    • Family Friend
    • Social Worker
    • Yes
    • No
    • Yes
    • No
    Press
    Enter
  • 20
    Please provide at least two emergency contacts and up to four emergency contacts other than the parent/guardian entered on the previous screens.
    Select Relationship
    • Mother
    • Father
    • Step-Mother
    • Step-Father
    • Foster Mother
    • Foster Father
    • Guardian
    • Brother
    • Sister
    • Aunt
    • Uncle
    • Grandmother
    • Grandfather
    • Court-Appointed Guardian
    • Family Friend
    • Social Worker
    • Yes
    • No
    • Yes
    • No
    Press
    Enter
  • 21
    Please provide at least two emergency contacts and up to four emergency contacts other than the parent/guardian entered on the previous screens.
    Select Relationship
    • Mother
    • Father
    • Step-Mother
    • Step-Father
    • Foster Mother
    • Foster Father
    • Guardian
    • Brother
    • Sister
    • Aunt
    • Uncle
    • Grandmother
    • Grandfather
    • Court-Appointed Guardian
    • Family Friend
    • Social Worker
    • Yes
    • No
    • Yes
    • No
    Press
    Enter
  • 22
    Please provide a list of any medical conditions this student has by selecting a medical condition from the drop down selection. You may provide additional information about the condition in the comment area.
    Press
    Enter
  • 23
    Has this student previously attended a TK-6 school in California?
    Press
    Enter
  • 24
    If this student has previously attended school for grade TK - 6 in another district or school, please provide as much information as possible.
    • Transitional Kindergarten
    • Kindergarten
    • 1st grade
    • 2nd grade
    • 3rd grade
    • 4th grade
    • 5th grade
    • 6th grade
    • No
    • Yes
    • No
    • Yes
    • No
    • Yes
    Press
    Enter
  • 25
    Please respond to the questions below.
    • Single-family permanent residence (house, condo, mobile home, apartment etc.)
    • Temporary Shelter or Transitional Housing
    • Hotel/Motel
    • Temporarily Double/Tripled Up
    • Unsheltered (car, campsite, etc.)
    • Yes
    • No
    • No
    • Yes
    • English
    • Spanish
    • United States
    • Other
    • No, this student does not have a parent/guardian who is active in the United States Armed Forces.
    • Yes, at least one parent/guardian of this student is active in the United States Armed Forces.
    Press
    Enter
  • 26
    SVA must collect alternative income information from each household to be counted as eligible for free or reduced-priced meals. The information submitted on this form is a confidential educational record and is therefore protected by all relevant federal and state privacy laws that pertain to educational records.
    Press
    Enter
  • 27
    SVA must collect alternative income information from each household to be counted as eligible for free or reduced-priced meals. The information submitted on this form is a confidential educational record and is therefore protected by all relevant federal and state privacy laws that pertain to educational records.
    Press
    Enter
  • 28
    *After school care is free for all students to attend. The program will operate until 6:00pm. This question helps us evaluate staffing.
    Press
    Enter
  • 29
    Press
    Enter
  • 30
    Below is a list of documents that MUST be submitted to the SVA front office prior to August 15, 2022. 1. Signed Parent/Student Handbook (Page 17) 2. Additional documents if applicable: a. Student's Health Insurance Card b. Authorized Health Care Provider Request for Medication (Medication if your child will have any type of medication at school.)
    Press
    Enter
  • 31
    Below is a list of documents that MUST be submitted to the SVA front office prior to August 15, 2022. 1. Signed Parent/Student Handbook (Page 17) 2. Verification of age (copy of birth certificate, baptism certificate, passport, etc.) 3. Students Immunization Record (Proof of Immunization Records are required of all entering students. Public schools may no longer accept immunization exemptions based on personal beliefs for children.) 4. Report of Health Examination for School Entry (TK, K, only) 5. Oral Health Examination for School Entry (TK, K, only) 6. Additional documents if applicable: a. Student's Health Insurance Card (If Needed) b. Authorized Health Care Provider Request for Medication (Medication if your child will have any type of medication at school.)
    Press
    Enter
  • 32
    Read, sign, and return page 17 to the front office.
    Press
    Enter
  • 33
    To protect the health of children, California law requires a health examination on school entry. Please have this report filled out by a medical professional and return it to the school. The school will keep and maintain it as confidential information. 
    Press
    Enter
  • 34
     California law (Education Code Section 49452.8) states your child must have a dental check-up by the first year in public school. 
    Press
    Enter
  • 35
     These immunization requirements apply to new admissions and transfers for all grades, including transitional kindergarten.
    Press
    Enter
  • 36
    Press
    Enter
  • 37
    Once the student enrollment form is submitted, the student is deemed enrolled. Admissions includes the submitting of appropriate required documentation. An enrolled student will be removed from the School if failure to comply with these admissions procedures is discovered after enrollment has been granted. The information submitted on this form is a confidential educational record and is therefore protected by all relevant federal and state privacy laws that pertain to educational records including, without limitation, the  Family Educational Rights and Privacy Act of 1974 (FERPA), as amended (20 U.S.C. § 1232g; 34 CFR Part 99); Title 2, Division 4, Part 27, Chapter 6.5 of the California Education Code, beginning at Section 49060 et seq.; the California Information Practices Act (California Civil Code Section 1798 et seq.) and Article 1, Section 1 of the California Constitution.
    Clear
    Press
    Enter
  • Should be Empty:
Registration for the 2021-2022 School Year
[Edit]
Question Label
1 of 37See AllGo Back
close