Online Enrollment Forms

Required Documents Checklist. If these required documents are not submitted within 7 days of enrollment, the student’s account will be placed on hold/inactive status until receipt of all applicable documents. Please check all that has been submitted to Goliath Academy.

Student passport sized photo (Can be uploaded)Official/Unofficial Copy of Transcript/ReportCardIndividualized Education Plan (IEP)/504 Plan (If applicable)Student ID and Parent/Guardian ID (If student is a minor)Completed enrollment application

Student's full name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Number

Area CodePhone Number

Cell Number*

Area CodePhone Number

Student's E-mail*

Date of birth*

Sex*

US Citizen*

Ehnicity (Not Required)

Parent/Guardian Name*

First NameLast Name

Parent/Guard E-mail*

Parent/Guardian Phone Number

Area CodePhone Number

Parent /Guardian Cell Phone Number*

Area CodePhone Number

Living with child?*

YesOther

Please note that if you have sole custody of your student, you will need to provide court/legal documentation for our records. If you are not the legal guardian, please provide the necessary documents. Goliath Academy reserves the right to request any proof of documentation at any time.

Program of selection*

Online 9th-12th GradeTraditional Classroom 9th-12th Grade

Course Duration*

Last School Attended:*

School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Last Grade Level Completed:*

Total credits Earned Previously*

Current Grade Level*

Entering Grade Level*

Is your student on an Individualized Education Plan (IEP)/504 Plan? (If YES, please provide documentation via the upload link below).*

YESNO

IEP Plan Documentation Upload

Upload a File

Are you seeking NCAA Initial Eligibility Requirements? (Student athletes only; 9th-12th grade)*

YESNO

If you seek NCAA eligibility, what sports do you play?

Please read and check each box below (If the student is under 18 years of age, legal parent/guardianmust sign.)*

I have read and agreed to the terms & conditions and the privacy policy.I agree that all information submitted to Goliath Academy, Inc. is true and correct to the best of my knowledge.I understand by submitting this information, I will be contacted by a school representative.

Student or Parent/Guardian Signature (Parent/Guardian must sign if student is a minor).*

Today's Date*

MonthDayYear

If all required documents are not submitted within 7 days of enrollment, the student’s account will be placed on hold/inactive status until receipt of all applicable documents.

Dear Parents/Guardians or Independent Students: Thank you in advance for reading the Student Handbook. Our policies and procedures are detailed in the Handbook, and we are sure many of your questions and/or concerns are addressed here: We want all of our students to have a successful experience at Goliath Academy. Please make sure both you and your student have reviewed our rules of conduct and internet safety, in addition to all other information.

If you have any questions not addressed here, please feel free to contact us. Please print mail, fax, or e-mail this document with your signature below. We must have a copy for our files. We do not want any interruption in service and ask that upon reading the Parent/Student Handbook, you mail, fax, or e-mail this document back to our office for our records within 7 days of your enrollment. If you have not faxed or e-mailed these forms to admissions@goliathacademy.org, please do so. We appreciate your understanding that the file has to be complete in order for your student to continue in our program. If you have any questions, please contact the school office, Monday – Friday, 9:00a.m. To 6:00 p.m. Our office number is 305-512-5994, 954-274-0651 or 561-642-9123.

Sincerely,

Dr. Goliath

Academic Director

I have read and/or reviewed Goliath Academy’s Parent/Student Handbook. I understand that it is my/our responsibility to ensure that the student completes all submitted work himself or herself, with minimal assistance. (Student Signature)*

I have read and/or reviewed Goliath Academy’s Parent/Student Handbook. I understand that it is my/our responsibility to ensure that the student completes all submitted work himself or herself, with minimal assistance. (Parent Signature)*

Today's Date*

MonthDayYear

The following student is enrolling or has enrolled at Goliath Academy. Please fax, e-mail or mail any and all school records for the named student.

Our fax number, e-mail address, and mailing addresses are shown below.
If you have any questions or concerns, please call us at: 954-274-0651 or 561-642-9123.

Mailing Address: 6685 Forest Hill Blvd. Room 206 Green acres, Fl. 33413

Fax: 305-768-8468

Email: registrar@goliathacademy.org

Students Name*

First NameMiddle NameLast Name

Date of birth*

School Previously Attended*

Last grade level completed *

Current grade level*

Previous School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

School Phone Number*

Area CodePhone Number

School Fax Number

Area CodePhone Number

Student or Guardian Name (If student is a minor)*

First NameLast Name

I give my permission for this record transfer: (Student signature) (Parent if student is a minor)*

Today's Date*

Upload copies of transcripts

Upload a File

Upload Student Picture

Upload a File

Upload Student/Parents ID

Upload a File

Upon clicking "SUBMIT" you will be redirected to the "Card Authorization Form" for completion of the process. You may also click "Print" and email the form if you wish.

Enter the message as it's shown*

Received

Date:

Sent To:
Date:

Online Enrollment Forms

Student Registration Form

Enrollment Notification to Students and Parent/Guradians / Parent Student Handbook

Release of Records Form

Upload your addtional enrollment docs here. Pictures, transcripts, etc!

For Goliath Academy School Personnel Only: