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Blue Horizons Knowledge Academy

K-5th grade

STUDENT INFORMATION

SCHOOL YEAR 2025-2026

Today's Date
Month
Day
Year

Required Forms

Student Information

Current Grade (or grade applying for)
Multi-line address

Parent/Guardian:

Second Parent/Guardian (if applicable)

Emergency Contact ( if applicable)

Household Information

Student lives with

Educational Background

Has your child attended school before?
yes
no

Medical Information

Does your child have any allergies?
yes
no
Does your child have any medical conditions or take medications regularly?
yes
no

Educational Priorities

What are your priorities for your child’s education? (Check all that apply and feel free to elaborate below)

Permissions & Policies

I grant permission for emergency medical treatment if I cannot be reached.
yes
no
I give permission for my child to be photographed for classroom use or promotional materials.
Yes, classroom use only.
Yes, classroom and promotional.
No

Signature

I certify that the information provided in this application is true and complete to the best of my knowledge.

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Date
Month
Day
Year
Enrollment Fee
Click here for a printable enrollment form.
Click here for a printable enrollment agreement form.
Click here for a printable

STATE OF FLORIDA

School Entry Health Exam form.

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