2019 Enrollment Form
To apply to The Birches Academy of Academics & Art for the academic year 2019-2020 please complete this application.  Applications for Kindergarten must be received no later than Midnight on Friday January 26th to be considered for the Kindergarten lottery.  If you have any questions please contact us at information@birchesacademy.org.

Student Information:

Does student have a sibling currently enrolled at the Birches? *
Grade Student will be Entering in September 2019 *
 *
Race -
 *
 

Parent/Guardian Information:

I give permission to The Birches Academy to send me updates via e-mail: *
Military Status *
I give permission to The Birches Academy to send me updates via e-mail:
Military Status

Schooling Information

Please list all schools (including Home Schooling) this student has attended.  Attach separately, if needed.

Sibling Information

Please list the names and entering grades for any sibling that will also be applying to The Birches Academy. 
Please note all siblings must be entered on a separate Enrollment Form as well as listed here

Declaration of Truth

1.  I am submitting my child's name into The Birches Academy Admission Process.
2.  I understand that submitting this application does not guarantee admission to The Birches Academy.
3.  I understand that should my child be offered enrollment in The Birches Academy, I must provide a complete health form as required by the State of New Hampshire.
5.  I understand that should my child be offered enrollment in The Birches Academy, I will be required to provide additional paperwork, such as transcripts and IEP documentation.

Additional Information

New Hampshire’s Statutes and Rules require that a school district keep accurate records and

updated personal files for all pupils. This information will become part of the student's permanent

cumulative record and will be available to appropriate staff members or child’s parents. New

Hampshire law requires that you provide Immunization information to your child's school.

 

As an equal educational opportunity provider for all students, The Birches Academy, shall not discriminate on the basis of race, color, religion, national origin, creed, sex, mental or physical disability, special need, veteran status, sexual orientation, proficiency in the English langauage, prior academic achievement or marital status.
You will receive a confirmation e-mail upon the completion of this form, if you do not please contact us at information@birchesacademy.org.
Thank you for your interest.