Enrollment Application

Date

Applicant Info

First Name

Middle Name

Last Name

Email Address*

Date of Birth

Grade Level Select 6th 7th 8th

Parent or Guardian (First and Last Name)

Street Address

Mailing Address

Home Phone

Cell Phone

Work Phone

School Child Last Attended

Note: Transportation availability will be determined by Putnam County School District.

Yes No

Does your child require special services?

Yes No

If yes, which services?

Do you have more than one child applying for admission?

Yes No

Do you currently have a child attending PAAS?

Yes No

If yes, what is the name of the child?

Parental Involvement and Support

Parental involvement and support is critical for the success of our school and your child. Please share with us how you are willing to help in our school community.

I am willing to help in the following ways: