Free Template · Copy and Use
Microschool Enrollment Form Template
A complete enrollment form covering everything you need to collect before enrolling a student. Free to copy, adapt, and use.
What should a microschool enrollment form include?
A good enrollment form does two things: collects the information you need to safely and effectively serve each student, and creates a formal record of the family's agreement to your school's policies.
At minimum, every microschool enrollment form should cover student and family information, emergency contacts, health and allergy details, and a signature acknowledging your tuition and community policies. The template below covers all of this in eight sections.
The Template
Free to copy and adapt[School Name]
Student Enrollment Application — [School Year]
[Address] · [Phone] · [Email]
Section 1: Student Information
- Student legal name (first, middle, last)
- Preferred name / nickname
- Date of birth
- Grade level (or age group)
- Gender (optional)
- Home address
- School year applying for
- Enrollment type (full-time / part-time / specific days — circle applicable)
Section 2: Parent / Guardian Information
- Parent/Guardian 1: Name, relationship to student
- Parent/Guardian 1: Phone (cell), phone (work/home), email
- Parent/Guardian 1: Home address (if different from student)
- Parent/Guardian 2: Name, relationship to student
- Parent/Guardian 2: Phone (cell), phone (work/home), email
- Custody arrangement notes (if applicable) — please attach any relevant documentation
- Preferred method of communication (phone / email / messaging portal)
- Authorized pickup persons (names + relationship) — list all individuals permitted to pick up your child
Section 3: Emergency Contacts
- Emergency Contact 1: Name, relationship, phone
- Emergency Contact 2: Name, relationship, phone
- Note: Emergency contacts should be individuals NOT listed as parent/guardian above who can be reached if parents are unavailable
- Physician / pediatrician name and phone
- Preferred hospital or medical facility
- Insurance provider and policy number (for emergency reference only)
Section 4: Health, Allergies & Medical Information
- Does your child have any known allergies? (Yes / No) — If yes, please list and describe the reaction
- Are any of these allergies life-threatening or anaphylactic? (Yes / No) — If yes, does your child carry an EpiPen? (Yes / No)
- Does your child have any medical conditions we should be aware of? (asthma, diabetes, seizure disorder, etc.)
- Current medications (name, dosage, frequency, and whether self-administered or staff-assisted)
- Any dietary restrictions or accommodations
- Any physical limitations or accommodations needed
- Does your child have an IEP, 504 plan, or similar documentation? (Yes / No) — If yes, please attach a copy
Section 5: About Your Child
- Please describe your child's learning style, interests, or areas of strength
- Are there any areas where your child needs additional support or where you'd like us to be aware?
- What does your child enjoy most about learning?
- Has your child attended school previously? If so, where and when?
- Is there anything else you'd like us to know before your child starts?
Section 6: Tuition Acknowledgment
- Monthly tuition amount: $______
- Payment due date: ______ of each month
- Accepted payment methods: [Online via Stripe / Check / Other]
- Late payment policy: Payments not received within [X] days of the due date will incur a $[X] late fee
- Returned payment fee: $[X]
- Enrollment deposit: $______ (non-refundable, applied to first month's tuition)
- Withdrawal notice period: [X] days written notice required before withdrawal
- Refund policy: [Describe your refund policy for prepaid months]
- ☐I have read and understand the tuition and payment policy (parent/guardian signature + date)
Section 7: Community Agreement
- ☐I agree to support my child's attendance and notify the school of absences by [time] on the day of absence
- ☐I understand and agree to the school's behavioral and community expectations as outlined in the Family Handbook
- ☐I will keep emergency contact information updated throughout the school year
- ☐I understand that the school may photograph/video my child for educational purposes (cross out if you do NOT consent)
- ☐I give permission for the school to seek emergency medical care for my child if I cannot be reached
- ☐I acknowledge that I have received and read the [School Name] Family Handbook
- Parent/Guardian signature: _____________________ Date: __________
- Printed name: _____________________
Section 8: Office Use Only
- Application received date:
- Application status: □ Pending review / □ Waitlisted / □ Accepted / □ Declined
- Accepted by (staff name):
- Enrollment confirmed date:
- Deposit received: □ Yes / □ No — Amount: $______
- Notes:
Adapting this template
This template is a starting point — adapt it to reflect your school's specific policies, schedule, and community agreements. Have an attorney in your state review any agreements before using them with families. Requirements vary by state.
Skip the paper form — MicroCampus has a built-in enrollment form
MicroCampus gives every microschool a public enrollment page with a built-in application form that families fill out online. Applications go directly to your admin dashboard, where you can review, approve, or decline them. No Google Forms, no PDFs to email, no paper to scan.
Public enrollment page
Families find your school and click Apply Now — all from your public page.
Online application form
Collects student info, health details, emergency contacts, and parent signature.
Admin review dashboard
See all applications in one place. Approve, waitlist, or decline with one click.
Ready to streamline enrollment?
MicroCampus handles enrollment from first application to approved student — no paper required.
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