Apply to Valor Heights

Student Full Name

Preferred Name/Nickname(optional)

Date of Birth

Grade Applying For

Current School(optional)

Student's Primary Language(optional)

Other Languages Spoken(optional)

Parent or Guardian 1 Full Name

Parent or Guardian 2 Full Name(optional)

Relationship to Student (Parent/Guardian 1)

Relationship to Student (Parent/Guardian 2)(optional)

Parent or Guardian 1 Phone Number

Parent or Guardian 2 Phone Number(optional)

Parent or Guardian 1 Address

Parent or Guardian 2 Address(optional)If same as Parent/Guardian 1, indicate 'same'

Parent or Guardian 1 Email

Parent or Guardian 2 Email(optional)

Parent or Guardian 1 Occupation(optional)

Parent or Guardian 2 Occupation(optional)

Student lives withCheck all that apply

Parent/Guardian 1Parent/Guardian 2Shared CustodyOther:

Are there any legal custody agreements we should be aware of?

YesNo

If yes, please describe(optional)Any relevant custody documentation can be emailed to info@valorheights.school

Emergency Contact 1 — Name, Phone Number, and Relationship to StudentSomeone other than a parent or guardian listed above

Emergency Contact 2 — Name, Phone Number, and Relationship to Student(optional)Someone other than a parent or guardian listed above

Does your child have any diagnosed learning needs, IEP, or 504 Plan?

YesNoOther:

If yes, please describe(optional)

Supporting documents (IEP, 504 Plan, evaluations) can be emailed to info@valorheights.school. You may also bring them to the student interview.

Does your child have any allergies, medical, or behavioral needs we need to be aware of?

What are your child's strengths, interests, or passions?

What are you looking for in a school experience?(optional)

How does your child respond to new environments or social situations?(optional)

Has your child ever been suspended, expelled, or had significant disciplinary action at a previous school?This information helps us understand your child's educational history and support needs. It will not automatically disqualify a student.

NoYesOther:

If yes, please explain(optional)

Anything else we should know about your child or family situation?(optional)

I certify that the information provided is accurate to the best of my knowledge.

I understand that this application does not guarantee admission.

Typed Signature (Parent/Guardian Full Name)

Date

Apply to Valor Heights — 2026–2027 School Year

Student Information

Parent or Guardian Information

Emergency Contact and Medical Information

Getting to Know Your Child

Acknowledgement