Bay County PSA Enrollment

Please fill out the enrollment form below. Click on the link to email your information to the Bay County Public School Academy Principal. They will verify receipt of the application and notify you of other requirements for enrollment.

See enrollment requirements for more information. There will also be a few forms to fill out in the school office.

Please complete a separate form for each child interested in attending.

Please enter student name as it appears on their Birth Certificate.
Name	*	*
City of Birth	*
State of Birth	*
Date of Birth	*
Gender	*
Age	*
Current Grade	*
Anticipated Start Date	*

Address	*
City	*
State	*
ZIP	*
Name of Previous School Attended
Student's Current School District	*
Student's Ethnicity

Does the student live at the same address as Parent or Guardian?
	*	Yes
If not please fill out address information below
Guardian name	*	*
Address
State
City
ZIP
Contact information
Home Phone	*
Work Phone
Cell Phone
E-mail Address
Student lives with above parent:	*
Relationship to child:	*

Please enter names of siblings interested in attending
Name
Age
Current Grade

Sibling 2
Age
Current Grade