Directions:

1. Complete all of the information below.
2. A parent/guardian must attest to the contents of this form.

Student Details

Student Id

First Name

Last Name

Bale Elementary School Carver-Washington STEAM Magnet Elementary School Chicot Elementary School Dr. Marian G. Lacey K-8 Academy Elementary School Forest Heights STEM Academy Elementary School Forest Park Elementary School Fulbright Elementary School Gibbs Magnet Elementary School J.A. Fair K8 Preparatory Elementary School Jefferson Elementary School Mabelvale Elementary School Martin Luther King Jr. Leadership & Language Magnet Academy Elementary School McDermott Elementary School Otter Creek Elementary School Pulaski Heights Elementary School Roberts Elementary School Stephens Elementary School Terry Elementary School Wakefield Elementary School Watson Elementary School Western Hills Elementary School Williams Magnet Elementary School

School

K 1st 2nd 3rd 4th 5th

Current Grade

Address

City

State

Zip Code

Parent/Guardian Details

First Name

Last Name

Relationship

Home Phone

Work Phone

Cell Phone

Emergency Phone

Email Address

Will transportation be needed?

Yes
No

Parent/Guardian Verification

Type Your Full Name

 6/13/2026

Current Date

By selecting this checkbox,
you attest you are the Parent/Guardian of the student listed above.

SUBMIT THIS ENROLLMENT FORM NO LATER THAN May 13^th, 2026