Rigorous academics and character development inspire lifelong learning.

2018-19 Enrollment Form

1) One application is required for each child you enroll.
2) Complete all the information on the forms.
  • Capitol West Academy is a tuition-free public charter school serving students in grades K4 through 8.
  • Student Information

  • The information requested in the following 7 questions will NOT be used for selection purposes. It will assist the school in the evaluation of the effectiveness of its recruitment.
  • Special Services

    Capitol West Academy is fully committed to providing quality education to all of our students, including those with special needs. We need your help, so please complete this page with care.
  • If your child has an Individual Education Plan (IEP), a copy of this plan must be received prior to entering school.
    (check all that apply)
  • Because we are legally obligated to provide your child with all services on their IEP, it is extremely important that you inform us whether your child has an IEP.
  • Health Information

  • You must bring medication to the school nurse including written doctor's orders (Benadryl, Epi-pen, and Tylenol). Complete the Parent/Guardian Medication or Procedure Consent Form as well.

    The school must have an up to date record of the student's immunizations.
  • Family Information

    For your child's safety, please take a moment to provide us with your most current contact information. These are numbers we must have to reach you in the event of an emergency.
  • Combined Consent Forms

    Please select yes or no to the following four items:
    (I hereby give my consent to let my child be photographed for use by the school and to potentially be used in newspaper articles, on the website, and on any other media throughout the school year.)
    (In the event of an emergency, I give permission to transport my child to a hospital for emergency treatment. I wish to be advised prior to any further treatment by the hospital or doctor.)
    (The students of Capitol West Academy will participate in several educational field trips during the school year. It is mandatory that he have a signed permission slip on file for each student before he/she is allowed to participate in any trip. Most field trips will be scheduled between the hours of 9:00 a.m. and 2:00 p.m.

    If you would like for your child to participate in educational trips this year, please select 'yes' on this form to indicate your permission. Your child's teacher will send further information as individual trips are planned. Thank you for your consideration in this matter
    .)
    (I understand and will abide by the Capitol West Academy Acceptable Internet Use Policy. I further understand that any violation of this Acceptable Internet Use Policy is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges may be revoked; district disciplinary action and/or appropriate legal action may be taken.)
  • Volunteer Opportunities 2018-19

    Capitol West Academy depends on parental involvement in the school.
    Each parent is required to volunteer each school year.
    There are a variety of volunteer opportunities available.

    Please indicate those which interest you.
    Additional opportunities will become available as the school year progresses.
    (Organize children and bring them down from their classrooms on picture day.)
    (Two parents from each classroom serve a variety of functions including setting up a class telephone tree to communicate urgent information, solicit help to plan a class outing for parents and students, arrange for baked goods or juices and assist the teacher in coordinating parties or field trips.)
    (Help set up and take down Scholastic Book Fair. Assist children with purchases.)
    (Parent group that meets monthly to plan fundraisers and activities, give input regarding school issues and support the development of the school community.)
    (Two parents will be included as voting members of the CWA School Board. The board is a decision-making authority for Capitol West Academy.

    Duties include: monitoring proficiency benchmarks; policy approval; evaluation of the Executive Director; and the review of legal, regulatory, and financial reporting regulation compliance
    .)
    (Provide baked goods, juice/soda or paper goods for special events or meetings throughout the year.)
  • Emergency Information

  • Contact Information: If my child becomes ill at school, please notify the following, IF PARENTS ARE NOT AVAILABLE:
  • ** In case of a serious accident or sudden serious illness and I cannot be reached, I hereby give the following permissions:
  • (Name of Hospital)
    (If YES, please fill out the Medication form.)
  • ** NO TREATMENT CAN BE GIVEN WITHOUT PERMISSION OF PARENTS OR GUARDIANS **
  • 118.13 Pupil discrimination prohibited. (1) No person may be denied admission to any public school or be denied participation in, be denied the benefits of or be discriminated against in any curricular, extracurricular, pupil services, recreational or other program or activity because of the person's sex, race, religion, national origin, ancestry, creed, pregnancy, marital or parental status, sexual orientation or physical, mental, emotional or learning disability.
  • You must fill out a separate application for each child applying.

    For more information or questions, please call (414) 465-1302.

    If your K4/K5 student has never been enrolled in school before, you will be required to show the student's birth certificate in person after submitting this application.

    Please note, you will be required to sign additional documents at the school.
    (You must check the box above in order to submit this application.)