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The current application can either be submitted online or can be downloaded and submitted to our front office. The evaluation forms and records request from the student's previous school as applicable should be downloaded and submitted to the office. There is a $50 non-refundable application fee that must be submitted before an application can be considered. If you have any questions about the application or the process, please contact us at (405) 216-5400 or [email protected]

Student Information

First Name^*

Middle Name

Last Name^*

Preferred Nickname

Gender^*

Age^*

Date of Birth^*

Place of Birth^*

Country of Citizenship^*

First Language^*

Other Language(s)

Home Address^*

Address Line 2

City^*

State^*

Zip Code^*

Preferred Phone Number^*

Parent Email Address^*

Parent Email Address #2

Applying for:^*

Year of Proposed Entrance^*

Previous Education Type^*

3-Year-Old Preschool Options

Present School (if applicable)^*

School Address^*

School Address 2

School City^*

School State^*

School Zip Code^*

School Counselor/Director^*

School Phone Number^*

Current Grade^*

Dates Attended^*

Other Schools Attended in the Last Five Years

School #2

School Name

School Address

School Address 2

School City

School State

School Zip Code

Dates Attended

School #3

School Name

School Address

School Address 2

School City

School State

School Zip Code

Dates Attended

Have you attended any additional schools in the last 5 years?^*

Family Information

Applicant Lives With:^*

If Other, please specify

Name of Additional Caregiver

Relationship to Student

Number of Siblings^*

Sibling #1

Sibling Name

Sibling Age

Sibling Grade

Sibling School Attending

Sibling #2

Sibling Name

Sibling Age

Sibling Grade

Sibling School Attending

Sibling #3

Sibling Name

Sibling Age

Sibling Grade

Sibling School Attending

Sibling #4

Sibling Name

Sibling Age

Sibling Grade

Sibling School Attending

Sibling #5

Sibling Name

Sibling Age

Sibling Grade

Sibling School Attending

Parent or Guardian #1

Name^*

Relationship to Student(s)^*

Email Address

Home Address (if different)

Address 2

City

State

Zip Code

Home Phone

Cell Phone

Work Phone

Employer^*

Title or Occupation^*

Business Address

Business Address 2

City

State

Zip Code

Parent or Guardian #2

Name

Relationship to Student(s)

Email Address

Home Address (if different)

Address 2

City

State

Zip Code

Home Phone

Cell Phone

Work Phone

Employer

Title or Occupation

Business Address

Business Address 2

City

State

Zip Code

Who is responsible for payment of tuition and other school expenses?^*

To whom should correspondence be sent?^*

Medical Information

Child #1 Name

Child #2 Name

Child #3 Name

Child #4 Name

Child #5 Name

List allergies and special medical information that we should know about:

List any medications taken or a regular (daily) basis by your child:

Background Information

At Keystone we stand by our philosophical foundation of valuing each child and their differences. We appreciate your candor and detail in answering the questions below. Your efforts will enhance our careful approach to your child.: There are currently no options for this field.

How did you hear about Keystone Adventure School & Farm?^*

State briefly why you would like your child to attend our school. What do you feel makes your child and our school a good match? If your child is transferring from another school, include your reasons for doing so. ^*

Describe your child, including her/his disposition, favorite activities, special talents, strengths, areas of weakness, academic ability, artistic or musical abilities, qualities or relationships with peers, parents, other adults, siblings, etc.^*

Give a brief narrative biography of your child. Include such things as the approximate age when she/he first spoke, crawled, walked, toilet trained; and any significant events such as a family move, etc.^*

Describe a typical weekday with your child, including how she/he gets up in the morning.^*

Did your child experience any social, academic, or disciplinary difficulties at his/her previous school?^*

If yes, please explain.

Has your child ever been tested for learning differences?^*

If yes, please explain (by whom, their phone and the date the testing occurred.)

Do you have any concerns regarding your child’s development? (i.e. academic, behavioral, or social.)^*

Payment Information

Name on Card^*

Card Type^*

Card Number^*

Card Expiration Month^*

Card Expiration Year^*

Card Security Code^*

Human Verification Image

By clicking submit, you are agreeing to pay the $50 non-refundable application fee. All transactions are final.

Before your application can be processed, please make sure that all teacher evaluation forms and previous records are submitted to the main office.

Keystone Adventure School & Farm, Inc. does not discriminate in enrollment of students on the grounds of race, color, sex, or nation or ethnic origin.

Keystone Adventure School and Farm