Odyssey Charter School - Brevard County Tuition-Free Public Charter School

New Student Application

If you have problems submitting the email application form then please download the pdf's HERE and fax or mail it to us.


Which school year are you applying for? Grade student is entering in the 2016-2017 school year: Student Name (Last Name, First Name, Middle Initial): Former Name (if applicable): Home Address (Street): City, State, Zip: Parent / Guardian Information Parent / Guardian # 1 Name (LastName, First Name, Middle Initial): Parent / Guardian # 1 Email Address: Parent / Guardian # 1 Home Phone: Parent / Guardian # 1 Cell Phone: Parent / Guardian # 1 Employment: Parent / Guardian # 1 Work Phone: Parent / Guardian # 2 Name (Las tName, First Name, Middle Initial): Parent / Guardian # 2 Email Address: Parent / Guardian # 2 Home Phone: Parent / Guardian # 2 Cell Phone: Parent / Guardian # 2 Employment: Parent / Guardian # 2 Work Phone: Student Information Student Date of Birth: Age: Race: Student's primary language: Primary language in home: Does he/she receive ELL/ESOL services? Current School Attending: County: Is your child currently suspended or expelled from another educational facility? Has your child successfully completed at VPK Program provided by OCS, Inc. governed school during the previous year? Name of school that your child attended a VPK Program: Is your student the child of an active duty member of any branch of the United States Armed Forces? Does your child have a sibling currently attending Odyssey Charter School? Please list all siblings and their grades entering in the 2016-2017 School Year that are currently applying for admission to Odyssey Charter Schooll: Other Student Information Will your child be walking to school? Will your child be arrving by car? Are you interested in bus transportation? Will your child need the Before/Aftercare Program? How far do you live from Odyssey Charter School ? Has your child been previously retained? How did you hear about Odyssey Charter School? All information requested is confidential and will be used by the school for informational registration purposes only. By submitting this application, the parent or guardian certifies that all information is true and correct. If any information on this application is false or not openly disclosed, it may be grounds for immediate withdrawl. Should additonal testing for student placement be necessary, permission is given to conduct such testing. If student is admitted, permission is given to have all student records transferred from other schools. Submission of a student application does not guarantee admission to the school. I understand that I will be required to attend a School Orientation event scheduled in the Spring as well as Registration in July. I understand and accept these terms Parent / Guardian Name: Date: ( Press submit to email application to Odyssey Charter School)

Elementary Campus: 1755 Eldron Blvd. SE • Palm Bay, FL 32909 • Phone: 321-733-0442 • Fax: 321-733-1178
Jr./Sr. High Campus: 1350 Wyoming Dr. SE • Palm Bay, FL 32909 • Phone: 321-345-4117 • Fax: 321-327-7261

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