2289 N Hercules Ave
Clearwater, FL 33763
(727) 298-2718
M - F 8:00am - 4:00pm
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Clearwater Campus
Ft. Myers
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Home
Clearwater Campus
Ft. Myers
About Us
FAQs
Why Athenian?
Languages
News
Student Life
Student Resources
Meet The Staff
Governing Board
Board Members
About the Board
Duty of Care
Strategic Planning /Setting Policy
Hierarchy of Legal Authority
Selects School Leader
Conflicts & Conflict of Interest
Board , Annual , Special
Relationship W/ School Leader
Governing Board Code of Ethics
Florida Whistleblower Act
Past Meetings & Minutes
Parent Portal
PCSB Portal
Events Calendar
School Supply List
Parents Handbook
PTSA
Image Gallery
Before/After Care
Before Care Program
Registration Form
1st Student’s Information
First Name
*
Last Name
*
m
Birthday
*
Grade
*
VPK- Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Does this student have any allergies?
Yes
No
If Yes, Please Specify
2nd Student’s Information
First Name
*
Last Name
*
m
Birthday
*
Grade
*
VPK- Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Does this student have any allergies?
Yes
No
If Yes, Please Specify
3rd Student’s Information
First Name
*
Last Name
*
m
Birthday
*
Grade
*
VPK- Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Does this student have any allergies?
Yes
No
If Yes, Please Specify
Parent’s Information
Mother’s First Name
*
Mother’s Last Name
*
Phone Number
*
Email Address:
*
Father’s First Name
*
Father’s Last Name
*
Phone Number
*
Email Address:
Any special needs or notes you want us to consider?
Designated pickup/ Emergency Contacts
Enter ALL ( Including Parents) names that will be allowed to pick up student
*Any person NOT on this list will not be able to pickup student
First Name
*
Last Name
*
Phone Number
*
First Name
*
Last Name
*
Phone Number
*
First Name
Last Name
Phone Number
First Name
Last Name
Phone Number
First Name
Last Name
Phone Number
Terms & Conditions
·Child must be dropped off between 7:00am-8:15am daily
· Child Will have to have their temperature recorded before they will be allowed to enter
·
Cancellation policy-
30 days written notice! If failure to provide proper notice then tuition will continue through that month of cancellation
· Tuition will continue through entire school year, even during times of school being closed for holidays. There will be Camps available at an additional discounted rate for after school children. ($20 extra per day + any field trip fees, on top of normal continuous tuition)
*
check here to acknowledge you read and agree to our terms & conditions
Signature of Parent or Legal Guardian ( Mouse or Finger )
*
Today’s Date
*