KOLA Academy Enrollment Form

01

Student information

Student full name*

Required

Date of birth*

Required

Age

Home address*

Required

City*

Required

Postal code*

Required

Parent or guardian name*

Required

Relationship to student

Parent phone*

Required

Parent email*

Valid email required

02

Learning profile

Academic strengths and favourite subjects

Learning challenges or areas needing support*

Preferred learning style

Previous educational settings*

Has your child had any formal assessments?

Yes No

If yes, please email details to [email protected]

03

Health and safety

Medical information N/A

Support needs N/A

Family doctor and clinic

Preferred hospital or facility

Primary emergency contact

Name*

Required

Relationship*

Required

Primary phone*

Required

Alternative phone

Pickup arrangements (authorized persons, transportation, special instructions)

04

Outdoor experience

Comfort level outdoors

Very comfortable, loves being outside Comfortable, enjoys outdoor time Somewhat comfortable, needs encouragement Hesitant, prefers indoors Unknown, limited outdoor exposure

Outdoor skills and interests (check all that apply)

Please specify

Weather concerns, animal or insect fears, or related allergies

Previous outdoor experience (programs, camps, activities)

05

Communication and payment preferences

Are you enrolled in a Distributed Learning (DL) school or registered homeschool?

DL school Registered homeschool No, not enrolled

Which one?

Confirmation signature

Signature required to confirm enrollment

How will tuition be covered?*

Required

Preferred payment method (if paying out of pocket)

Monthly bank transfer Term payment Annual payment (5% discount) Credit card (2.5% fee)

Preferred communication method

Email Text message Phone call

06

Family goals

What are your goals for your child at KOLA Academy?*

Required

Anything else we should know about your child?

07

Agreements and signature

I consent to internal documentation

Required for enrollment

Yes, I consent No, please do not use my child's image publicly

Please select an option

I have read and agree to KOLA Academy's enrollment terms, tuition schedule, and attendance policies. I authorize KOLA Academy staff to seek emergency medical treatment for my child if I cannot be reached. I understand that outdoor education involves inherent risks and that KOLA Academy takes appropriate safety precautions. I confirm that all information provided is accurate and I will notify KOLA Academy of any changes.

All four agreements must be checked

Parent or guardian signature*

Signature required

Print name*

Required

Date*

Required

Relationship to child*

Required

KOLA Academy Enrollment Form

Student information

Learning profile

Health and safety

Outdoor experience

Communication and payment preferences

Family goals

Agreements and signature

Enrollment confirmed