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2026-27 School Year Enrollment Application

2026-27 School Year Enrollment Application

DEADLINE:

We will continue to fill seats until maximum capacity is reached for Fall '26 and we will fill seats on a first come, first serve basis.

INSTRUCTIONS

Please complete one form for each student you wish to enroll. If a seat is available a complete Registration Packet, including additional documentation, will be required.

1. STUDENT INFORMATION

Student's Legal Last Name*

Answer required for "Student's Legal Last Name"

Student's Legal First Name*

Answer required for "Student's Legal First Name"

Date of Birth*

Answer required for "Date of Birth"

Grade Entering for Fall 2026*

Answer required for "Grade Entering for Fall 2026"

Student's Current School (if applicable)*

Answer required for "Student's Current School (if applicable)"

2. FAMILY & CONTACT INFORMATION

Parent/Guardian 1 Name:*

Answer required for "Parent/Guardian 1 Name:"

Primary/Main Contact Phone Number:*

Number Required

Email*

Answer required for "Email"

This email will be used to notify you of the registration process..

Parent/Guardian 2 Name:

Answer required for "Parent/Guardian 2 Name:"

Primary/Mobile Phone

Number Required

Email:

Answer required for "Email:"

Physical Address:

Answer required for "Physical Address:"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Mailing Address (if different):

Answer required for "Mailing Address (if different):"

3. PRIORITIZATION

Oregon law and our charter contract grant priority placement to specific groups.

A. SIBLING PRIORITY :

Does this student have a sibling who is also applying for admission or currently enrolled? ☐ Yes ☐ No, If Yes, please list sibling name(s):

Answer required for "Does this student have a sibling who is also applying for admission or currently enrolled? ☐ Yes ☐ No, If Yes, please list sibling name(s): "

B. IN-DISTRICT RESIDENCY PRIORITY

Does the student reside within the Siuslaw School District boundaries? ☐ Yes ☐ No, If Yes, (Proof of Address Required): *

Answer required for "Does the student reside within the Siuslaw School District boundaries? ☐ Yes ☐ No, If Yes, (Proof of Address Required): "

Proof of Residency Requirement : To receive "In-District" priority, you must verify your address. Please upload ONE proof of address document. (i.e. Mortgage statement, Property tax statement, Rental lease agreement, Utility bill (electricity, gas, water/sewer) , Oregon Driver’s License , Oregon Identification Card)*

Answer required for "Proof of Residency Requirement : To receive \"In-District\" priority, you must verify your address. Please upload ONE proof of address document. (i.e. Mortgage statement, Property tax statement, Rental lease agreement, Utility bill (electricity, gas, water/sewer) , Oregon Driver’s License , Oregon Identification Card)"

Choose a file or drag it here.

Housing Stability Statement: If you are currently experiencing housing instability (e.g., staying with others, in a shelter, or in a motel) and cannot provide these documents, please check here [ ] and contact the office at 541.999.4258. You will not be denied entry into the lottery due to a lack of housing documentation.

4. SIGNATURE & CERTIFICATION

If a seat is offered, I will be requried to complete a full Enrollment Packet (including birth certificate and immunization records) to finalize admission.
Providing false information (such as a false address for lottery priority) may result in the revocation of an enrollment offer.

Parent/Guardian Signature*

Signature Required

SUBMISSION INSTRUCTIONS:

Mail or Deliver to :

Whitmore Classical Academy

625 Highway 101 PMB 1035

Florence, OR 97439

EMAIL: [email protected]

NON-DISCRIMINATION POLICY: Siuslaw Valley Charter School/Whitmore Classical Academy does not tolerate the harassment of, or discrimination against applicants, employees, students, parents, or vendors relating to an individual’s race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, genetic information, marital status, service member status, or any other category protected by federal, state or local law. Civil Rights Coordinator: Jennifer Waggoner 541.999.4258

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"