Platte River Academy

Intent to Enroll Form

Platte River Academy, a Core Knowledge Charter School, establishes an educational alternative for grades K-8.  If you are interested in enrolling your child, the first step is to complete this Intent to Enroll Form. 

NOTE: If you have filled out this application previously, you do not need to fill this out again. 
Your name remains on the list until you ask to have it removed.  Each year we update their grade level.  If you want to verify your students information or that they are still on the list, please call PRA's Enrollment Coordinators:  Marika Miller or Judy Poulliot at 303-221-1071 x 2031 between 7:30AM and 4:00PM, Monday through Friday.

Fill out this form for each child you intend to enroll:

Child's Name and Information

Name:   Last: ,   First: Middle:

       Address: Apt/Unit No.
             City:      State:    Zip:
    Telephone:             

             Sex:   Male     Female        County of Residence:

Current School Year*:  Current Grade      Date of Birth       School Currently Attending 
Select Year Aug 2004 - Jun 2005 Aug 2005 - Jun 2006 Aug 2006 - Jun 2007 Aug 2007 - Jun 2008 Aug 2008 - Jun 2009 Aug 2009 - Jun 2010 Aug 2010 - Jun 2011 Aug 2011 - Jun 2012 Aug 2012 - Jun 2013 Aug 2013 - Jun 2014 Aug 2014 - Jun 2015 Aug 2015 - Jun 2016   Select Grade Kindrgtn First Second Third Fourth Fifth Sixth Seventh Eighth       
*If Kindergarten, select year to enter PRA                               

Sibling Information

                                                        Currently
Name of Sibling                         Attends PRA?    Other School?                          Grade          Date of Birth
Yes   No      Select K 1 2 3 4 5 6 7 8      
Yes   No      Select K 1 2 3 4 5 6 7 8      
Yes   No      Select K 1 2 3 4 5 6 7 8      
Yes   No      Select K 1 2 3 4 5 6 7 8      
Yes   No      Select K 1 2 3 4 5 6 7 8      
Yes   No      Select K 1 2 3 4 5 6 7 8      

Parent/Guardian Information

Father/Guardian
Name:   Last: ,   First: Middle:

       Address: Apt/Unit No.
             City:      State:    Zip:
Phones:  Home:  Work:  Cell:
            Email:

Mother/Guardian
Name:   Last: ,   First: Middle:

       Address: Apt/Unit No.
             City:      State:    Zip:
Phones:  Home:  Work:  Cell:
            Email:

How did you hear about PRA? 
Referred by a PRA Family Search Engine Core Knowledge Web Site Douglas County School District Referred by Realtor Newspaper Ad Relative, Friend or Neighbor Other School Other (please describe) SELECT how you heard about PRA Other/Comment:

Comments

Password (enter a password and password hint for this intent-to-enroll)
Enter password:    Reenter password:  
Enter a hint to remind you of your password

  Alternately you may print the form and return to:

Platte River Academy
4085 Lark Sparrow Street
Highlands Ranch, CO 80126
Phone: 303-221-1070
Fax:   303-221-1069

PRA Mission Statement

To provide a content-rich and academically rigorous education 
with a well-defined, sequential curriculum in a safe, orderly and caring environment.