Enroll

Enrollment is perpetual until student is formally withdrawn or graduates from high school.
Attendance is presumed at 365 days per year as long as the student remains enrolled.

All state-required documents must be submitted with your enrollment either by uploading below or by email to AShaffer@Freedomcshoolers.com. Religious exemption statement can be elected on the enrollment form.

Documents needed for private school enrollment per FL Statutes 1003.22, 1002.42

A photocopy of the student's birth certificate (DO NOT send originals)
School Entry Health Exam form Florida DH 3040, performed within 1 year prior to enrollment OR religious exemption statement*.
Immunization Record form Florida DH 680, current information no more than 1 year prior to enrollment OR religious exemption statement*.

Note: Students relocating from outside Florida may submit similar Health Exam and Immunization Record forms from their previous state so long as it is current within 1 year prior to enrollment.

*Religious Exemptions for Health Exam and/or Immunization Records under Florida Statute 1003.22
Florida Statute 1003.22(1) provides in relevant part that "a child shall be exempted from the requirement of a health examination upon written request of the parent of the child stating objections to the examination on religious grounds".

Florida Statute 1003.22(5)(a) provides that "[t]he provisions of this section shall not apply if...[t]he parent of the child objects in writing that the administration of immunizing agents conflicts with his or her religious tenets or practices".

To elect a Religious Exemption, please check the applicable box in the Statement of Religious Exemption section below. There is no state requirement to have a physician or Department of Health official sign off on any religious exemption statement or use any standard form.

Freedomschoolers Academy Enrollment Form

* Indicates required field

Parent Name *

First

Last

Parent Email *

Parent Phone Number *

Florida County of Residence (select from list) *

Street Address *

City *

Zip Code *

Student Info: First and Last Name, DOB, Current Grade ( List ALL your students here. Do not submit multiple forms.) *

One or more of my students intend to use FLVS Flex for Private School Students under Freedomschoolers Academy (Flagler County): *

Yes No Undecided at this time

Read and Check *

I understand that enrollment will continue until the student is formally withdrawn from FSA or graduates from high school.

Attendance Policy: Read and Check *

I understand that as my student is continually enrolled with FSA that the student is presumed to be in attendance for 365 days per year. As such, there are no periodic attendance reports to submit.

Statement of Religious Exemption (if applicable) *

Per Florida Statute 1003.22(1) and 1003.22(5)(a), we are exempt from BOTH the Health Exam and the Immunization Card requirements as they are in conflict with our religious tenets or practices. Per Florida Statute 1003.22(1), we are exempt from the Health Exam requirement as it is in conflict with our religious tenets or practices Per Florida Statute 1003.22(5)(a), we are exempt from the Immunization Card requirement as it is in conflict with our religious tenets or practices.

Enrollment Documents Policy: Read and Check *

I understand that all state-required enrollment documents are due immediately to complete enrollment.

Upload your Enrollment Documents here or submit by email to AShaffer@Freedomschoolers.com :

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