FALA Re-enrollment Please fill out one form for each student currently attending FALA. Each family is responsible for checking with the office to make sure the list of Emergency Contacts is correct. Student Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Current Grade*Parent's Name* First Last Parent's Name First Last Email* Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Address Change*Has your address changed since your last enrollment?No, my address is still the sameYes, my address has changedProof of address changeYou must either bring documentation to the FALA office or send an electronic document that verifies address change to school. This can be a utility bill, paycheck stub, insurance document, rental agreement or any other document which shows both the parent name and the current address.I will bring documentation to the school office.I will submit an electronic document (upload below)Upload your proof of address change Drop files here or Enrollment Intent*Yes, it is my intent to re-enroll in the Flagstaff Arts and Leadership Academy for the 2019-20 school year. This form serves as my re-enrollment document.No, I wlll not be returning to the Flagstaff Arts and Leadership Academy for the 2019-20 school year. I understand that by saying no, a spot will not be reserved for me and that others who are applying will be given the opportunity to enroll. I also understand that to officially withdraw from FALA I need to visit the office and sign an official withdrawal form.Reason for declining to re-enroll:Verification* By checking this box, I am agreeing that the above information is true and correct. Signature*Please type your name as your signature that verifies that the above information is true and correct.