Annual Enrollment Application This form must be submitted or saved before closing the page, or the information will be lost. (If this form was copied from an existing, previously submitted form, that original form is already saved.) This field is hidden when viewing the formSchool Year2022-20232023-20242024-2025Parent Information - FatherName* First Last Date of Birth* MM slash DD slash YYYY Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Numbers*List all available phone numbers for father.Type CellHomeWork Education*Less than 8th grade or no formal education8th gradeSome high schoolHigh-school graduate or equivalentSome collegeAssociate's degreeBachelor's degreeSome post-graduate studyMaster's degreeDoctorate or professional degreeEmployer*OccupationGifts or TalentsParent Information - MotherName* First Last Date of Birth* MM slash DD slash YYYY Address (if different from father) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Numbers*LIst all available phone numbers for mother.Type CellHomeWork Education*Less than 8th grade or no formal education8th gradeSome high schoolHigh-school graduate or equivalentSome collegeAssociate's degreeBachelor's degreeSome post-graduate studyMaster's degreeDoctorate or professional degreeEmployer*OccupationGifts or TalentsParent Information - OtherName of Guardian (if not parent)Name of Other Parent (if applicable)Family InformationPhone Number for FBOCS Directory*This field is hidden when viewing the formPhone Number for FBOCS Directory*TypeCellHomeWorkFamily Church Affiliation*Local School Board*Homeschool Experience Taught at home before Number of YearsNames of Children TaughtHomeschool Ministry in Which You Were Most Recently EnrolledIf none, why?Reasons for Teaching Your Children at Home*Primary Teacher*If parent is not the primary teacher, please explain arrangement and the reasons.Student InformationChildren to Be Enrolled*Full Legal Name (nickname in parentheses)Date of BirthEntering GradePrevious School K123456789101112 Other Children in FamilyFull Name (nickname in parentheses)Date of BirthEntering GradeReason Not Enrolled K123456789101112 Others Who Live in HouseholdFull NameRelationship to Student Have any students to be enrolled ever been diagnosed with learning disabilities or placed in special education? If yes, please explain.List names of those with permission to see student records.School Year*Use of Media I grant permission for pictures, videos, and other recordings that include my family members at FBOCS events to be used on the FBOCS website and other FBOCS displays and publications. Certification* I certify that to the best of my knowledge the statements made on this form are true and accurate. Teacher(s)*Email Date MM slash DD slash YYYY This field is hidden when viewing the formParents