Kazoo School SIS and LMS Portal.Powered By Classe365

Application Information

School Year for this Application^*

2023-24 2024-25

Student's Grade Level upon starting at Kazoo School^*

For Preschool Students, Please Select

Monday - Wednesday - Friday (3 days/week) Half Day Monday - Wednesday - Friday (3 days/week) Full Day Monday - Friday (5 days/week) Half Day Monday - Friday (5 days/week) Full Day Other

Student Information

First Name^*

Last Name^*

Date of Birth^*

Home Address^*

Phone Number^*

Current School or Program

Does your child have, or has your child ever had an IEP or 504?^*

Previous Schools Attended

Parent/Guardian Information

1. Parent/Guardian Name ^*

1. Relationship to Student^*

1. Phone Number^*

1. Email Address^*

1. Home Address (if different from student)

Occupation & Employer^*

2. Parent/Guardian

2. Relationship to Student

2. Phone Number

2. Email Address

2. Home Address (if different from student)

2. Occupation & Employer

Family Information

Parents are Living Together/Married^*

Yes Single Divorced Separated Other

If Divorced, and Parents are Remarried, Please List Name of Spouses

Other Children in the Family

(name, age, current school, grade)

Has a family member previously applied to or attended Kazoo School?^*

Yes No

Name, Relationship and Years Attended

How did you hear about Kazoo School?^*

Is a language other than English spoken in the home? (If yes, please tell us which language) Is your child bilingual?

About Your Child

Submit Application

Is there any other information you would like share?

As part of this application to Kazoo School, the applicant and their parents/guardian agree to the following:

1. This application and all other relevant information outlined in the admission process will be considered by Kazoo School if and when such material is complete. The undersigned grants Kazoo School permission to request and receive confidential information regarding the applicant and retain such information in the applicant's file.

2. The information furnished on the application for admission, together with all information and materials of any kind received by the school from any source, or prepared by anyone at its request, shall be completely confidential and shall not be disclosed to anyone including the candidate and their family or guardian, except that the Head of School may, for official purposes at their discretion, disclose any part or all there of to such a person or persons as they deem advisable.

3. The information provided in the admission application is true and to the best of our abilities, is an accurate and complete description of our child. I/We acknowledge that if I have misrepresented the truth in any way during the application, or omitted information that affects my/our student's education, admission or enrollment my be revoked.

Application Fee is $75

Kazoo School
1401 Cherry St.
Kalamazoo, MI 49008
(269) 345-3239

1. Signature^*

Date^*

2. Signature

Date

Fees

Mandatory Fees
	Kazoo School Application Fee	75
	Total	75.00