*Parents/Guardians will always be added to any correspondence between BLE and the student.

PARENT/GUARDIAN INFORMATION

Parent/Guardian #1 - Custodial Parent/Guardian

*Please be sure to check your Spam/Junk folders for any correspondence from BLE Schools, Wollingsford, or BLE Center and mark it as safe to ensure that you can receive school communications.

*BLE will sometimes send communications via SMS/text message.

Parent/Guardian #2

Emergency Contact

Family Code Word or Phrase

Some families have a code word or phrase for their child in the event of emergencies. If you would like to have one with BLE Schools, please provide it below.

PRIOR SCHOOL & EDUCATIONAL HISTORY

Current/Most Recent School

*Currently enrolled BLE students: School address and academic information are not needed for students who are currently enrolled in BLE Schools and are completing this form for new school year re-enrollment purposes.

New Enrollments: Please be sure to complete the school information below. Incomplete information can delay the enrollment process.

Student Records

The following student record information listed below is requested for enrollment. If you are unable to upload these documents, please email them to Admissions@BLEAcademy.org and note in the Subject line: "Child's First Name + Last Name - Student Records" (ex. Jane Doe - Student Records)

• Current Transcript (Required)

• Most Recent Report Card (Required)

• Standardized Test Scores (if available)

• Withdrawal Form (from current/former school)

• Attendance Records (Wollingsford Academy enrollments only)

• IEP (if applicable)

• 504 Plan (if applicable)

• Psychological Evaluation (if applicable)

• Speech/OT/PT Reports (if applicable)

• Discipline Records (if applicable)

• Birth Certificate

Student Education & Supports

The Student Education & Supports section of the enrollment form allows us, as an educational organization, to ensure that we connect your child with the education and support services that they need.

Business / Tax Information (Optional)

Some families may enroll through a family-owned business or organization. In certain cases, educational services provided through BLE Schools may potentially qualify as a business or employee education expense.

If applicable, please provide:

• Business Name

• EIN / Tax ID Number

• Student’s Relationship to Business

• Business Billing Information

Please note: BLE Schools does not provide tax or legal advice. Families should consult with their CPA, accountant, or tax professional regarding any possible tax deductions, credits, reimbursements, or business expense eligibility related to tuition or educational services.

Parent/Guardian Certification

I certify that all information submitted in this enrollment application is accurate and complete to the best of my knowledge. I understand that incomplete or inaccurate information may delay or impact the enrollment review process.