Apply – Acceptance Academy

Comments

This field is for validation purposes and should be left unchanged.

Student Name*

First Middle Last

Date of Birth*

Age*

Place of Birth*

Pronouns*

Race/Ethnicity*

(Note: the Florida Department of Education requires Acceptance Academy to annually report the racial and gender demographics of its student population as a condition of participating in the School Choice Scholarships. Race, ethnicity, and/or national origin are not factors in or conditions for admission to Acceptance Academy. Please see our statement of non-discrimination.)

Parent/Guardian's Information

Parent 1 Name*

First Last

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address Address Line 2 City State Zip Code

Occupation*

Employer*

Parent 2 Name*

First Last

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address Address Line 2 City State Zip Code

Occupation*

Employer*

Student Lives With*

Both parents, same home

Both parents, different homes

Parent 1 only

Parent 2 only

Other

If parents are separated or divorced, a certified copy of all custody and visitation orders must be filed with Acceptance Academy before the student begins studies with the school. If the student’s parents become separated or divorced after the student begins attending Acceptance Academy, a certified copy of all custody and visitation orders must be promptly filed with the school. If amended at any time, a certified copy of amended orders must be promptly filed with Acceptance Academy.

In case of emergency, who will be notified? Please answer the fields below:

Emergency Contact Person*

First Last

Emergency Phone Number*

Please enter a valid phone number.

Student's Grade Level for the 2025-26 Academic Year*

School Last Attended*

School Address*

City State

For students new to Acceptance Academy, has your student been suspended or dismissed from any school? If so, please explain:

For students new to Acceptance Academy, has the student received any individualized educational programming?**

IEP

504 Plan

AIP

None

Other

Please type another option here:*

Please indicate which disabilities, impairments, and/or medical conditions necessitate the student’s need for exceptional educational services:

Are there other special challenges that impact the student?**

Allergies

Vision Impairment

Hearing Impairment

Medications

None

Other

Please type another option here:*

If yes to any of the above, please specify. List any medications that need to be administered at school.

If your student is new to Acceptance Academy, how did you hear about our school?

Tuition Rates for 2025-2026 Academic Year

Standard Tuition Rate: $20,000

Payment Option 1
Full payment of tuition and fees - Due July 1, 2025

Payment Option 2
Payment of 50% tuition - Due July 1, 2025. Payment of remaining balance of tuition - Due December 1, 2025

Payment Option 3
Monthly ACH payment - Ten monthly payments beginning July 1, 2025 and ending April 1, 2026

Payment Option Selection*

Payment Option 1

Payment Option 2

Payment Option 3

Financial Obligations
The satisfaction of all financial obligations to the school, including the payment of tuition and fees, constitutes a material condition for continued enrollment. The school may disallow students from having examinations recorded if financial obligations to the school are not met. In addition, the school may withhold the issuance of transcripts or access to any other student record and/or disallow participation in or access to school activities, and/or withdraw a student if any financial obligations are not met.

DOCUMENTATION

Accompanying this registration form must include the following, without which students may not attend Acceptance Academy:

(The following are required only of students new to Acceptance Academy)

A non-refundable registration fee of $200
Copy of child’s most recent report card
Copy of child’s most recent standardized test
Copy of the child’s current IEP, AIP or 504 Plan

Upon acceptance or renewal of your child as a student at Acceptance Academy and prior to the start of the school year, you must provide Acceptance Academy with the following:

Record of child’s current immunizations [Dept. of Health form DH 680] (required of students new to Acceptance Academy and returning students entering the Seventh Grade)
Record of child’s school entry health examination [Dept. of Health form DH 3040] (required only of students new to a school in the State of Florida)
Photocopy of child’s birth certificate (required only of students new to Acceptance Academy)

File Upload

Drop files here or

Max. file size: 16 MB.

TERMS AND CONDITIONS

Terms & Conditions*

I agree to terms & conditions provided by the school (linked above). I also certify that all information in this form is true and accurate.

Date Signed*

Signature*

Student Application Form

Parent/Guardian's Information

In case of emergency, who will be notified? Please answer the fields below:

Tuition Rates for 2025-2026 Academic Year

DOCUMENTATION