Enrollment Application

2026-2027 School Year

Parent / Guardian Information

Full Name *

Email Address *

Phone Number *

Relationship to Student *

Student Information

Are you enrolling more than one child?

Student 1

Full Name *

Age *

Grade Applying For *

Medical & Learning Information

Allergies or Medical Conditions *

Learning Needs or Accommodations (Optional)

Student Support and Program Capacity

Destiny Prep is a private school that reviews each applicant individually. Families should share any learning, medical, behavioral, accessibility, or support needs that may affect the student's school experience. Admission is based in part on whether the school has the staffing, resources, and program capacity to appropriately serve the student. If a student's needs exceed the school's available resources or program capacity, another educational setting may be more appropriate.

Emergency Contact Name *

Emergency Contact Phone *

Background Information

Current School or Homeschool Status *

How did you hear about Destiny Prep?

Financial Assistance

CHOOSE Act Scholarship Status

Have you applied for or received the CHOOSE Act tuition scholarship?

Additional Financial Support

After receiving the CHOOSE Act tuition scholarship, will your family need additional financial assistance?

Destiny Prep Academy offers a limited number of need-based scholarships on a first-come, first-served basis for qualifying families. Families indicating a need for additional assistance may be contacted for further information to determine eligibility.

Please note: Scholarship assistance is limited and not guaranteed.

Required Acknowledgments

Medical / Emergency Acknowledgment

I have provided accurate medical and emergency contact information for my child. I authorize Destiny Prep staff to provide or seek emergency medical care if necessary. I understand that it is my responsibility to update this information whenever changes occur.

Media / Photo Release

I give permission for Destiny Prep to photograph or record my child during school activities, including classes, events, and projects, for educational or promotional purposes. I understand that media may be used in print, online, or social media communications.

Liability Waiver / Assumption of Risk

I understand that participation in school activities, on-campus or online, involves some inherent risk. I release Destiny Prep, its staff, and affiliates from liability for accidents, injuries, or technical issues that may occur during school programs, to the fullest extent permitted by law.

Application Fee: $50

A non-refundable application fee of $50 is required to process your enrollment application. You will be redirected to a secure payment page after submitting this form.

All fields marked with * are required