Sahuarita Unified School District K-5th Grade SDPA Registration

Step 1 of 4

Is your child currently enrolled at an SUSD school for the 2020-2021 School Year?*
- Yes
- No
Parent Information
Parent's Name*
First Last
Parent's Phone Number*
Parent's Email*

Child's Information
How many K-5th grade students are you registering with SDPA?*
Child (1)
Child (1)'s Full Name (as it appears on Birth Certificate)*
First Middle Last
Child (1) Student ID Number*
If you do not know your child's student ID number, please call your child's home school.
Child (1)'s Date of Birth*
MM slash DD slash YYYY
Child (1)'s Grade Level for the 2020-2021 school year*
Child (1)'s Current School*
Does your child (1) participate in any of the following programs? (check all that apply)*
- N/A
- Advanced, Accelerated, Honors, or AP Courses
- Gifted Education
- Reading Lab (K-3)
- Math Intervention Services (Reteach)
- Special Education & related services via a current IEP
- 504 Plan
- English Language Development
- Other
Other Program
Please list other programs that your child (1) participates in below.
Intended Full-Time Equivalency Enrollment Statement (AOI)*
I confirm that my child (1) is currently enrolled or intends to enroll full-time with Sahuarita Digital Pathways Academy during the 2020-2021 school year.
Child (2)
Child (2)'s Full Name (as it appears on Birth Certificate)*
First Middle Last
Child (2) Student ID Number*
If you do not know your child's student ID number, please call your child's home school.
Child (2)'s Date of Birth*
MM slash DD slash YYYY
Child (2)'s Grade Level for the 2020-2021 school year*
Child (2)'s Current School*
Other Program
Please list other programs that your child (2) participates in below.
Intended Full-Time Equivalency Enrollment Statement (AOI)*
I confirm that my child (2) is currently enrolled or intends to enroll full-time with Sahuarita Digital Pathways Academy during the 2020-2021 school year.
Child (3)
Child (3)'s Full Name (as it appears on Birth Certificate)*
First Middle Last
Child (3) Student ID Number*
If you do not know your child's student ID number, please call your child's home school.
Child (3)'s Date of Birth*
MM slash DD slash YYYY
Child (3)'s Grade Level for the 2020-2021 school year*
Child (3)'s Current School*
Does your child (3) participate in any of the following programs? (check all that apply)*
- N/A
- Advanced, Accelerated, Honors, or AP Courses
- Gifted Education
- Reading Lab (K-3)
- Math Intervention Services (Reteach)
- Special Education & related services via a current IEP
- 504 Plan
- English Language Development
- Other
Other Program
Please list other programs that your child (3) participates in below.
Intended Full-Time Equivalency Enrollment Statement (AOI)*
I confirm that my child (3) is currently enrolled or intends to enroll full-time with Sahuarita Digital Pathways Academy during the 2020-2021 school year.
Child (4)
Child (4)'s Full Name (as it appears on Birth Certificate)*
First Middle Last
Child (4) Student ID Number*
If you do not know your child's student ID number, please call your child's home school.
Child (4)'s Date of Birth*
MM slash DD slash YYYY
Child (4)'s Grade Level for the 2020-2021 school year*
Child (4)'s Current School*
Does your child (4) participate in any of the following programs? (check all that apply)*
- N/A
- Advanced, Accelerated, Honors, or AP Courses
- Gifted Education
- Reading Lab (K-3)
- Math Intervention Services (Reteach)
- Special Education & related services via a current IEP
- 504 Plan
- English Language Development
- Other
Other Program
Please list other programs that your child (4) participates in below.
Intended Full-Time Equivalency Enrollment Statement (AOI)*
I confirm that my child (4) is currently enrolled or intends to enroll full-time with Sahuarita Digital Pathways Academy during the 2020-2021 school year.
Child (5)
Child (5)'s Full Name (as it appears on Birth Certificate)*
First Middle Last
Child (5) Student ID Number*
If you do not know your child's student ID number, please call your child's home school.
Child (5)'s Date of Birth*
MM slash DD slash YYYY
Child (5)'s Grade Level for the 2020-2021 school year*
Child (5)'s Current School*
Does your child (5) participate in any of the following programs? (check all that apply)*
- N/A
- Advanced, Accelerated, Honors, or AP Courses
- Gifted Education
- Reading Lab (K-3)
- Math Intervention Services (Reteach)
- Special Education & related services via a current IEP
- 504 Plan
- English Language Development
- Other
Other Program
Please list other programs that your child (5) participates in below.
Intended Full-Time Equivalency Enrollment Statement (AOI)*
I confirm that my child (5) is currently enrolled or intends to enroll full-time with Sahuarita Digital Pathways Academy during the 2020-2021 school year.
Child (6)
Child (6)'s Full Name (as it appears on Birth Certificate)*
First Middle Last
Child (6) Student ID Number*
If you do not know your child's student ID number, please call your child's home school.
Child (6)'s Date of Birth*
MM slash DD slash YYYY
Child (6)'s Grade Level for the 2020-2021 school year*
Child (6)'s Current School*
Does your child (6) participate in any of the following programs? (check all that apply)*
- N/A
- Advanced, Accelerated, Honors, or AP Courses
- Gifted Education
- Reading Lab (K-3)
- Math Intervention Services (Reteach)
- Special Education & related services via a current IEP
- 504 Plan
- English Language Development
- Other
Other Program
Please list other programs that your child (6) participates in below.
Intended Full-Time Equivalency Enrollment Statement (AOI)*
I confirm that my child (6) is currently enrolled or intends to enroll full-time with Sahuarita Digital Pathways Academy during the 2020-2021 school year.

Digital Access
Do you have working and reliable Internet access in your home?*
- Yes
- No
Do your children have a laptop, desktop, Chromebook, or other PC-type device available to access their online classroom?*
- Yes
- No
Please note that there is a limited quantity of student devices to check out from the District.

Confirmation
I confirm that I am requesting my child to be placed in full-time online learning via the Sahuarita Digital Pathways Academy.*
You have selected full-time online for your child. By signing below, you are confirming this choice for your child to participate in full-time online education via the Sahuarita Digital Pathways Academy. You also acknowledge that you are a parent (per birth certificate) or legal guardian (per court order) and have educational rights to make this choice for this child.

Step 1 of 4

Parent Information

Child's Information

Child (1)

Child (2)

Child (3)

Child (4)

Child (5)

Child (6)

Digital Access

Confirmation

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