Primary Guardian’s Email^*

Primary Guardian’s First Name^*

Primary Guardian’s Last Name^*

Primary Guardian’s Phone^*

Emergency Notification Opt-In Via Text

Opt-In

Secondary Guardian’s Email^*

Secondary Guardian’s First Name^*

Secondary Guardian’s Last Name^*

Secondary Guardian’s Phone^*

Emergency Notification Opt-In Via Text

Opt-In

Home Address

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Country

Zip ^*

How did you find out about our school?^*

Student Information
(Chi Tiết Học Sinh)

Number of Students

Is This A Returning Student?^*

Last Name^*

First Name^*

Middle Name

Date of Birth^*

Student must be at least 6 years old as of Sep 1st of the applicable school year to register for a class. A copy of birth certificate may be required to confirm the age.

Gender (Phái)^*

Previous Vietnamese Grade/Class completed^*

Any Food Allergies?

Food Allergies^*

T-Shirt Size^*

Is This A Returning Student? (Student #2)^*

Last Name (Student #2 )^*

First Name (Student #2 )^*

Middle Name (Student #2 )

Date of Birth (Student #2)^*

Student must be at least 6 years old as of Sep 1st of the applicable school year to register for a class. A copy of birth certificate may be required to confirm the age.

Gender (Phái) (Student #2)^*

Previous Vietnamese Grade/Class completed (Student #2)^*

Any Food Allergies? (Student #2)

Food Allergies (Student #2)^*

T-Shirt Size (Student #2)^*

Is This A Returning Student? (Student #3)^*

Last Name (Student #3)^*

First Name (Student #3)^*

Middle Name (Student #3)

Date of Birth (Student #3)^*

Student must be at least 6 years old as of Sep 1st of the applicable school year to register for a class. A copy of birth certificate may be required to confirm the age.

Gender (Phái) (Student #3)^*

Previous Vietnamese Grade/Class completed (Student #3)^*

Any Food Allergies? (Student #3)

Food Allergies (Student #3)^*

T-Shirt Size (Student #3)^*

Is This A Returning Student? (Student #4)^*

Last Name (Student #4)^*

First Name (Student #4)^*

Middle Name (Student #4)

Date of Birth (Student #4)^*

Student must be at least 6 years old as of Sep 1st of the applicable school year to register for a class. A copy of birth certificate may be required to confirm the age.

Gender (Phái) (Student #4)^*

Previous Vietnamese Grade/Class completed (Student #4)^*

Any Food Allergies? (Student #4)

Food Allergies (Student #4)^*

T-Shirt Size (Student #4)^*

Is This A Returning Student? (Student #5)^*

Last Name (Student #5)^*

First Name (Student #5)^*

Middle Name (Student #5)

Date of Birth (Student #5)^*

Student must be at least 6 years old as of Sep 1st of the applicable school year to register for a class. A copy of birth certificate may be required to confirm the age.

Gender (Phái) (Student #5)^*

Previous Vietnamese Grade/Class completed (Student #5)^*

Any Food Allergies? (Student #5)

Food Allergies (Student #5)^*

T-Shirt Size (Student #5)^*

Emergency Medical Response (Cho phép gọi 911)^*

I hereby authorize emergency transportation of the student to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury that might occur on Khai Tri Academy (KTA) campus, and hereby release, discharge, and otherwise indemnify KTA and associated personnel, against any claim by or on behalf of the student named above as a result of that student’s participation in KTA program. 
(Tôi chấp thuận cho phép sử dụng các phương tiện di chuyển cấp cứu đưa con em tôi đến một cơ quan chữa trị nếu những nhân viên cứu hộ kể trên cảm thấy cần thiết. Tôi nhận thức các thương tích có thể xảy ra cho con tôi khi đi học tại trường Khai Trí, do đó sẽ bãi miễn mọi yêu cầu bồi thường và còn bênh vực nhân viên trường Khai Trí, ngăn cản bất cứ yêu sách nào với danh nghĩa của học sinh có tên trên đây vì học sinh đó theo học ở trường Khai Trí)

I accept

School Policy^*

ATTENDANCE POLICY  
School attendance is important in order for your student to be successful.  Please help us make this a priority.  Please be courteous to teachers and fellow students by having your child in class on time and seated at 9 AM.  If you are planning time for your family, please see the school calendar for observed holidays and school events. Students are to be picked up (12:00 pm) by parents or a designated person noted at registration. Each student has one excused absence available to use per semester.  Please discuss directly with the student’s teacher for individual circumstances. Excessive unexcused absences or tardiness in picking up your child or children may result in dismissal from school. Tardiness in picking up your child/children is defined as more than two times per semester.
DRESS CODE
Student appearance should be neat and clean.  Students are to be fully clothed and wear shoes at all times.  Individual dress is up to the student and his/her parents/guardians as long as it complies with the following guidelines which were created to encourage a positive and safe learning environment:  Clothing may not have any pictures, symbols or words that represent alcohol, tobacco, illegal drugs, gangs, sexual messages, racial slurs or profanity.  Pants must be secured at the waist.  No beach wear may be worn.  This includes bathing suits, short shorts or skirts, halter tops and clothing that exposes the midriff.  Shirts or tops with straps must be “three finger widths”.  Tops considered to be “spaghetti straps” are not appropriate.  Shoes must be worn at all times.  No slippers.  No undergarments, including boxer shorts, may show.  Hats may not be worn inside the school.  In addition, this dress code policy will be in effect for all school related activities. Violation of dress code may result in asking the student(s) to go home and come back with the appropriate outfits.
The key guideline is that dress and grooming should never interfere with anyone’s right to learn or teach or endanger health or safety.  Where the nature of a learning activity rules out certain modes of dress and grooming because of health or safety, appropriate standards will be developed and made available to students involved in those activities.
CONDUCT
We want to keep a professional, respectful and friendly environment for our school and set a good example for our children. Healthy interactions are expected between teachers, teachers and parents, students and teachers and also among students.  Any type of harassments (verbal or physical) or uncivilized actions among any of the above members should be reported to the appropriate entities.  We encourage healthy interactions between students.
ELECTRONIC DEVICES
Electronic devices area allowed in class only for educational purposes and when supervised by the teachers. The teachers have the authority to collect students’ cell phones or electronic devices in class if they were inappropriately used. The devices or cell phones will be given back to students at the end of the day.
CLOSED CAMPUS
Khai Tri Academy has a closed campus policy.  Students are to remain on school property during the school day.  Students are to enter school property immediately upon arrival. 
Parents who wish to remove their child from school for any reason should send a note indicating the time and purpose of departure.  
Traffic safety
For kindergarten and first grade classes, we ask that parents pick up and drop off your child/children at the classroom’s door. Parents with children not in class should be responsible for supervising their own children and ensuring their safety.
Safe environment
Students are prohibited from carrying weapons to school.  These include but not limited to guns, knives, martial arts weapons or other devices that can be used as a weapon.  Security guard is available for the students’ safety.  Mace or pepper spray is allowed for adults and for 14 years or older students with the permission of their parents.   Please be on alert and report any suspicious strangers entering the school ground or any abnormal behaviors among our members to the above in paragraph # 5 or to the security guard.  See updated contact names and numbers listed in the index at the end of this document. 
Steps to report incidences
We strive to provide a healthy, safe and productive learning environment for our children.  Any disturbing incidence should be reported to the teacher, principal, or head of the PTO. 
Facility
Be conscientious of the facility that we use. We are leasing the facility and there are cleaning staff available.  However, be mindful of trash and keeping things in order. Even though we are using the facility mainly on Sundays, there are always college students or others who also uses the campus during the weekend. Parking is available curb side, visitor’s parking, or in the covered parking lot as noted by the University for weekend hours parking. Do not park along fire lanes or blocking traffic.
FIRE DRILL
One fire drill will be conducted during each school year.  Fire drill plans are detailed below.
PTO will notify parents ahead of time of the date of the fire drill.  
At the beginning of class, the teachers will take a roll call and count the number of    students.
At the signal of the fire drill, teachers will line up their students at the classroom door; one teacher should be in front of the students, and one teacher or teacher assistant should be in the back of the line. They will walk the students out into the open courtyard away from the building.  Teachers then will count their students and report to the designated staff conducting the drill that day. 
Any parents that are in the hall way or restrooms should quickly look for any students that may be in the restroom and direct the student  and themselves out of the building and report that student to designated staff conducting the drill.  Parents should not run to classrooms to look for their own children. They are to wait outside for their children’s class. 
In the event of a real fire alarm - The above procedures are carried out and the principal or designee should immediately call 911. 
FIRST AID 
A first aid kit will be available onsite for all school days or events. Basic first aid supplies and medication is available and will be administer or not based on the discretion of the person in charge.   Parents are encouraged to fill out a brief health questionnaire about their child at the beginning of registration that includes any illness that the child has or any allergies.  If any extra medical information that parents feel is important please notify the first aid team directly.
MOVING UP/ADVANCING TO THE NEXT CLASS
This is at the discretion of the teaching staff set forth in class. 
KHAI TRI ACADEMY INTERNET TERMS AND CONDITIONS ACCEPTABLE USE 
The purpose of using the network/internet in our academy is to support research and education by providing access to unique resources and the opportunity for collaborative work.  Transmission of any materials in violation of academy policy or any U.S. or state regulation is prohibited.  This includes, but is not limited to:  copyrighted material, threatening or obscene material, or protected by trade secrets.

I attest that I have read and acknowledge the school policy below.

Parent/Guardian Signature (Chữ ký phụ huynh)^*

Admissions INFO

At A Glance

Faculty & Staff

Board Of Directors

Map & Directions

Principal's Message

Welcome to KTA

School Hours

Talk to a KTA representative today

Parent Information
(Chi Tiết Phụ Huynh)

Student Information
(Chi Tiết Học Sinh)

ABOUT KTA

OUR LINKS

OUR SCHOOL

GET IN TOUCH

Admissions INFO

At A Glance

Faculty & Staff

Board Of Directors

Map & Directions

Principal's Message

Welcome to KTA

School Hours

Talk to a KTA representative today

Parent Information (Chi Tiết Phụ Huynh)

Student Information (Chi Tiết Học Sinh)

ABOUT KTA

OUR LINKS

OUR SCHOOL

GET IN TOUCH

Parent Information
(Chi Tiết Phụ Huynh)

Student Information
(Chi Tiết Học Sinh)