Application for New Students

Student / Child's Full Name

Date of Birth

Child’s Gender

Male
Female

Child's Age on August 1, 2026

Home Address

City

State

Zip Code

Primary Phone Number

Primary E-Mail

Ethnicity (check all that apply)

Hispanic

White

Asian

African American

Prefer Not To Answer

Student lives with (check all that apply)

Father

Mother

Step Father

Step Mother

Guardian

Release information to (check all that apply)

Father

Mother

Stepfather

Stepmother

Guardian

What's the primary language spoken in the home?

Any other language spoken in the home? To what extent?

Sibling Information (if applicable)

Name

Age

Grade

School

Relationship to Child

Name

Address

City

State

Zip Code

Cell Phone

Work Phone

Occupation

Employer

E-Mail

Relationship to Child

Name

Address

City

State

Zip Code

Cell Phone

Work Phone

Occupation

Employer

E-Mail

How did you hear about Discovery School?

Person responsible for the tuition payment

Today's Date:

Toddler Program: 18 months - 3 Years Indicate Choice

8:00 AM - 11:30 AM (Half Day)

8:00 AM - 3:00 PM (Full Day)

Early Childhood Program: 3 Years - 6 Years Indicate Choice

8:00 AM - 11:30 AM (Half-Day, optional for 3-year-olds)

8:00 AM - 3:30 PM (Full-Day, mandatory for 4 through 6-year-olds)

Elementary: Grades 1-6 Indicate Choice
Please submit school records (transcript, report cards, progress reports, test results) for the last two years with applications for elementary

Grade:

Extended Day (if available) Indicate Choice

Physician's Name

Physician Address

City

State

Zip Code

Physician's Phone

General Health of the Child

Date of Last Physical

Date of Last Hearing Test

Date of Last Vision Test

Date of Last Dental Exam

Physical Limitations

Is your child taking any medications on a regular basis?

No
Yes

If Yes, Please Explain

School Previously Attended

Address

Dates Attended

Additional School Previously Attended

Address

Dates Attended

Reason for Leaving

Has your child ever been dismissed from school for any reason?

No
Yes

If Yes, Please Explain (include school and principal name)

Are there areas where your child may have exceptional strengths?

No
Yes

If Yes, Please Elaborate

Has your child had delays in meeting any developmental milestones?

No
Yes

If Yes, Please Elaborate

Does your child receive therapy services?

No
Yes

If Yes, What type of therapy services and how often?

Does your child have any clinically diagnosed learning differences?

No
Yes

If Yes, What diagnosis and when was he/she diagnosed?

Has your child ever had psychological counseling?

No
Yes

If Yes, please explain. This WILL NOT become a part of the student's permanent record.

Please use the space below for any other pertinent information about the child or family situation (optional).

Parent’s Acknowledgement of Risk & Personal Responsibility

“I acknowledge that I have freely chosen to enroll my child(ren) at the Discovery School for the 2026-27 school year. I understand that the Discovery School has taken all reasonable precautions to protect parents, students, and staff from exposure to COVID-19 and/or other infectious illnesses. Those measures include, but are not limited to, appropriate screening of families and staff, temperature measurement, face shields when necessary, masks when necessary, increased social distancing when necessary, and enforcement of proper hygiene and sanitization. I am permitting my child(ren) to participate in school activities and programs at the Discovery School with this understanding and hereby knowingly and voluntarily assume all risks of injury, illness, death, or damage related to COVID-19 and/or other infectious illnesses , which may arise as a result of my child’s voluntary participation and attendance at the Discovery School.  I accept full responsibility for all medical expenses for any injuries or exposure my family might receive by reasons of my child’s attendance. I further acknowledge that my child's attendance may expose my family to COVID-19 and/or other infectious illnesses in spite of the above measures, and I assume any such risk, thus releasing the Discovery School and all its agents from liability. I may discontinue my child’s attendance at any time in light of the risks I am assuming hereunder, while acknowledging that this attendance in no way impacts or releases me from my contractual enrollment agreement. I also agree that by attending the Discovery School, my family will fully comply with all such measures out of respect for the safety and health of the teachers and larger school community. I agree to abide by all safety precautions outlined in the above commitment, to the fullest extent possible, when in public spaces outside of school.  I acknowledge that I have voluntarily chosen to enroll my child at the Discovery School for the 2026–2027 school year. I understand that attendance at school and participation in school activities may involve exposure to communicable illnesses, including but not limited to COVID-19 and other infectious diseases.  I understand that the Discovery School follows applicable health and safety requirements in accordance with Texas Minimum Standards for Child Care Centers and relevant public health guidance. I acknowledge that, despite reasonable precautions taken by the school, no environment can be entirely risk-free, and exposure to illness may occur.I agree to comply with all health, illness, and safety policies established by the Discovery School, including illness exclusion, reporting requirements, and return-to-school guidelines. I further agree to keep my child home when they are ill or show symptoms of communicable disease and to cooperate with school procedures as policies may be updated to remain in compliance with licensing requirements.

I understand that enrollment at the Discovery School is contingent upon continued compliance with school policies, behavioral expectations, and financial obligations. I acknowledge that the Discovery School reserves the right, at its discretion and in accordance with applicable regulations, to dismiss a child and/or family for reasons including, but not limited to: behavioral concerns that significantly disrupt the learning environment or compromise safety; failure to comply with school policies; unpaid tuition or fees, including repeated late payments, and excessive late pick-up fees or late drop-off fees; lack of cooperation with required meetings or intervention plans; or changes in enrollment capacity, staffing, licensing requirements, or program availability, including school or classroom downsizing.

I understand that dismissal or voluntary withdrawal does not release me from financial obligations incurred prior to the effective date of dismissal, as outlined in the enrollment agreement.

By signing this, I acknowledge that I have read, understand, and agree to the above conditions of enrollment and participation at the Discovery School.”

Parent/Guardian # 1: Type your full name below to agree to the above acknowledgement of risk & personal responsibility:

Parent/Guardian # 2: Type your full name below to agree to the above acknowledgement of risk & personal responsibility:

Application Signing & Acknowledgement

By submitting this application, I certify that all of the information provided is complete and accurate to the best of my knowledge. I confirm that I have legal custody of the child who is applying to attend The Discovery School.

Name of Person Submitting Application (Parent/Guardian)

Date

Signature