Bay City Academy Enrollment

Online Enrollment Form

Please call us at (989) 293-6091, and we will be glad to contact you to answer any questions you may have regarding Bay City Academy enrollment.

Student Information
Name	*	*
Date of birth	*	**
Age	*	Gender: *
Grade in Fall of 2017	*
Address	*
City	*
State	*
ZIP	*

Special Services Received	*	None Gifted & Talented Occupational Therapy Physical Therapy Speech Therapy Resource Room Other
If other - Please describe
Does your child have an IEP?	*	Yes No

Has your child ever received disciplinary action resulting in missing school?	*	Yes No
Please describe


Parent or Guardian Information
Guardian name	*	*
Home Phone (no dashes)	*
Work Phone
Cell Phone
Address, if different than student
City
State
ZIP
E-mail Address	*
Relationship to child:	*
Highest Level of Education


Please enter names of other children interested in attending Bay City Academy
Name
Date of birth
Grade in Fall of 2017

Name
Date of birth
Grade in Fall of 2017