PENSACOLA BEACH ELEMENTARY SCHOOL
APPLICATION FOR ADMISSION
2006-2007 SCHOOL YEAR
INSTRUCTIONS
Applications must be completed by a parent or legal guardian. One application must be completed for each
student seeking enrollment in Pensacola Beach Elementary School for the upcoming school year. Parents
will be notified of their student's acceptance status as early as possible. Additional registration materials
will be forwarded at the time. Please send completed application(s) to the following address/fax number.
Telephone number: (850) 934-4020
Fax Number: (850) 934-4040
Mailing Address: Pensacola Beach Elementary School
900 Via DeLuna
Pensacola Beach, Florida 32561
To learn more about Pensacola Beach Elementary School, please visit our web site at
http://www.beachschool.org or e-mail JeffCastleberryaticastieberrv@escambia.kI2.fl.us
STUDENT INFORMATION
Grade Applying For (circle one): K I 2 3 4 5
Student's Name: __________________,__________________________,_______________
Last First Middle Nickname
Student's SS# ______-______-_______ BirthDate: -____/____/_____ Gender (Circle One): M / F
mm dd yyyy
Home Phone: _____________________________
Street Address: ______________________________________ Apt#:_________________
City:______________________ State:____________________ Zip Code:_____________
Current School Attending: _____________________________ Current Grade (2005-2006 school year):_____
Currently receives Speech and/or other ESE services. Please circle one. Yes No
LEGAL GUARDIANS
Name: _______________________________ Name:____________________________________
Relationship:___________________________ Relationship:_______________________________
Home Phone:__________________________ Home Phone:______________________________
Cell Phone:____________________________ Cell Phone:________________________________
Work Phone:__________________________ Work Phone:______________________________
Street Address:________________________ Street Address:_____________________________
City:________________________________ City:_____________________________________
State:___________ Zip Code:____________ State: __________________Zip Code:__________
E-Mail Address:_______________________ E-Mail Address:____________________________
Place of Employment:___________________ Place of Employment:________________________
