Clear Form
☐ 2022-2023
☐ 2023 - 2024
☐ Toddler 18 mths to 3 yrs
☐ Primary 3 yr to K
☐ Lower Elementary Gr 1 to 3
☐ Upper Elementary Gr 4-6
☐ Secondary I Gr 7 to 8
☐ Secondary II Gr 9 to 12


☐ Male
☐ Female
☐ Gender Diverse
Does your child have any special needs (educational, medical, or psychological)? Has your child received any testing or evaluations that would relate to their academic or social performance? Please have copies sent of tests or evaluations that your child has taken.
If so, please list the name, dosage and time given.
Please list every school that your child has attended

Parent Information

Address if different from above
Mother's OccupationFather's Occupation
Full name of Mother's Spouse (if different from Father)Full name of Father's Spouse (if different from Mother)
Full Name of Legal GuardianLegal Guardian Phone NumberLegal Guardian AddressLegal Guardian Employer/Occupation

Health Insurance

Approved Pickup List

NamePhone NumberRelationship

Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.

To complete the application, school records should be emailed to or sent directly by your child’s current school to:

The Hillsboro School
73 Elvira Road
Helena, AL 35080

A $100 application fee is due with submission of the application. Payment can be made through our website at:

Upon application acceptance, the following is required prior to the first day of school:

  • copy of a photo id for everyone on approved pickup list
  • copy of insurance card
  • copy of the State of Alabama Certificate of Immunization
  • signature pages for contract, handbook and policies
  • $500 deposit