Oasis Charter Public School

Kinder Enrollment Form

Kinder Oasis Enrollment 2026-27 Online (English)

Child's Information

Student Name(Required)

First Middle Last

Student's Nickname

Birthdate(Required)

Birth Place (City/State)(Required)

City State / Province / Region

Gender(Required)

Male

Female

Age(Required)

Please enter a number from 5 to 14.

Grade Student Will Enter 2026-2027(Required)

District of Residence(Required)

Last School Attended(Required)

Preferred Correspondence Language(Required)

Student's Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Student Lives With(Required)

Family Information

Mother/Stepmother/Guardian 1(Required)

Mother

Step Mother

Guardian 1

Mother/Guardian 1's Name(Required)

First Last

Mother/Guardian 1's Home Phone(Required)

Mother/Guardian 1's Cell Phone(Required)

Mother/Guardian 1's Work Phone(Required)

Mother/Guardian 1's Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Mother/Guardian 1's Mailing Address is the same as Physical Address(Required)

Yes

Mother/Guardian 1's Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Father/Step Father/Guardian 2(Required)

Father

Step Father

Guardian 2

Father/Guardian 2's Name(Required)

First Last

Father/Guardian 2's Home Phone(Required)

Father/Guardian 2's Cell Phone(Required)

Father/Guardian 2's Work Phone(Required)

Father/Guardian 2's Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Father/Guardian 2's Mailing Address is the same as Physical Address(Required)

Yes

Father/Guardian 2's Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Mother/Guardian 1's Education Level:(Required)

Not a high school graduate

Some College (includes AA degree)

Graduate school/postgraduate training

High school graduate

College graduate

Father/Guardian 2's Education Level:(Required)

Not a high school graduate

Some College (includes AA degree)

Graduate school/postgraduate training

High school graduate

College graduate

Ethnicity: Is this student Hispanic or Latino?(Required)

No, not Hispanic or Latino

Yes, Hispanic or Latino

The above part of the question is about ethnicity, not race. No matter what you selected above, please continue to answer the following by marking one or more boxes to indicate what you consider your race to be.

Race: What Is the race of this student? (Select one or more)(Required)

Oasis Charter School welcomes all students to our family! Understanding our students' history with special education assessments, services, and placements better positions our entire staff to support your child. Disclosing your child's educational history will in no way affect their admission into Oasis, but it WILL allow us to have a conversation about supports we can immediately put into place so your child starts the year off on the path to success!

Has your child ever been evaluated for special education or received special education services?(Required)

Yes

Has your child ever attended a special education class?(Required)

Yes

Which class or service did your child attend? (Check all that apply).(Required)

SPEECH

LH/SDC

ED/SDC

CH/SDC

ADAPTIVE P.E.

OTHER

If so, when did they attend a special education class?(Required)

Was this in a(Required)

Public School

Private School

Name of last school where services were received(Required)

OCPS will not discriminate on the basis of race, color, sex, national and ethnic origin, age, religion, or disability in the administration of its educational, admission and athletic policies and other school-administered programs.

EMERGENCY FORM SY 2026-27

Language Spoken at Home(Required)

Mother/Guardian 1's Employer(Required)

Mother/Guardian 1's Cell Phone(Required)

Mother/Guardian 1's Work Phone(Required)

Mother/Guardian 1's Email(Required)

Enter Email Confirm Email

Father/Guardian 2's Employer(Required)

Father/Guardian 2's Cell Phone(Required)

Father/Guardian 2's Work Phone

Father/Guardian 2's Email(Required)

Enter Email Confirm Email

In case my child becomes ill or injured at school and parent contact cannot be made, you may contact or release my child to the following people. The following people are also allowed to pick my child up after school. Emergency contacts should be able to answer calls from the school during the day and be available to pick up your child from the school in a timely manner when called.

Emergency Contact 1(Required)

First Last

Relationship to student(Required)

Home Phone(Required)

Work/Cell/Daytime Phone(Required)

Emergency Contact 2(Required)

First Last

Relationship to student(Required)

Home Phone(Required)

Work/Cell/Daytime Phone(Required)

Emergency Contact 3(Required)

First Last

Relationship to student(Required)

Home Phone(Required)

Work/Cell/Daytime Phone(Required)

Health Care Provider(Required)

Health Care Provider Phone(Required)

Name of Medical Insurance(Required)

Policy Number(Required)

Medical Condition(Required)

Yes

My Child receives regular care for the following medical conditions(Required)

Allergies?(Required)

Yes

Allergies(Required)

Date of last reaction(Required)

Check all that apply

Requires Epinephrine

Asthma

Diabetes

Insuline Required

Seizures

Does your child have any other major health issue(s)? Please list:

Is your child taking medication(s)? Please list medication(s) and times taken:(Required)

Prescriber's Name/Title(Required)

Prescriber's Telephone Number(Required)

Prescriber's Fax Number

Prescriber's Address(Required)

Street Address Address Line 2 City State ZIP Code

A signature from your medical prescriber will be required on our official document before we can administer medication at school. Thank you so much!

Medication 1 name(Required)

Medication 1 Strength(Required)

Type of medication (1)(Required)

Required Dose for medication 1(Required)

Times medication 1 is to be given at school(Required)

Reason for giving medication 1(Required)

Relevant side effects for medication 1(Required)

If medication 1 is PRN, frequency:

If medication 1 is PRN, for what symptoms?

How soon can medication 1 dose be repeated?(Required)

Medication 1 shall be administered from [date] to [date] or remainder of year:(Required)

Additional instructions for medication 1

Medication 2 name

Medication 2 Strength

Type of medication (2)

Required Dose for medication 2

Times medication 2 is to be given at school

Reason for giving medication 2(Required)

Relevant side effects for medication 2

If medication 2 is PRN, frequency:

If medication 2 is PRN, for what symptoms?

How soon can medication 2 dose be repeated?

Medication 2 shall be administered from [date] to [date] or remainder of year:

Additional instructions for medication 2

Other children in the family:

Child 1

First Last

Relationship to student

Grade

Date of birth

Child 2

First Last

Relationship to student

Grade

Date of birth

Child 3

First Last

Relationship to student

Grade

Date of birth

Child 4

First Last

Relationship to student

Grade

Date of birth

Child 5

First Last

Relationship to student

Grade

Date of birth

I certify that my child is a resident of California(Required)

In an emergency, when we cannot be contacted, the school authorities or parent volunteers have our permission to use their best judgment in the interest of our child’s health and welfare. The school assumes no financial responsibility or legal liability. If emergency service involving medical action or treatment is required and neither parent nor the family physician can be reached for consent, the parent hereby consents to the rendering of such emergency medical service for the above named students as shall be necessary in the opinion of the adult performing supervision.

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Signature of Parent or Guardian

HOME LANGUAGE SURVEY

The California Education Code requires schools to determine the language(s) spoken at home by each student and the dates they first enrolled in schools in the United States. This information is essential for schools to provide meaningful instruction for all students. Your cooperation in helping us meet this important requirement is requested. Please answer the following questions and return this form to the office. Thank you for your help.

Student's Date of Birth

Age(Required)

Please enter a number from 5 to 15.

Grade(Required)

Date first enrolled in a California public school:

Date(Required)

Date first enrolled in any school in the United States:

Date(Required)

Which language did your child learn when they first began to talk?(Required)

What language does your child most frequently use at home?(Required)

In what language do you most frequently speak to your child?(Required)

What language is spoken most often by the adults at home?(Required)

This information is confidential and will only be used to determine eligibility for state funds through the California Department of Education for the 2025-26 school year. This information will not be divulged for any other reason.

How many adults are there in the household?(Required)

How many children are there in the household?(Required)

For School use only, total monthly income:(Required)

Please circle all services that you are receiving:

CalFRESH

CalWORKS

Kin-GAP

FDPIR

I hold Monterey County Office of Education, the UCEN Board of Directors, and Oasis Charter Public School, its Faculty, Agents and Employees harmless from any and all liability or claims which may arise out of or in connection with my child’s participation in any school authorized field trip.

In an emergency when I cannot be contacted, the school authorities have my permission to use their best judgment in the interest of my child’s health and welfare. The school assumes no financial responsibility. If emergency services involving medical action or treatment is required and neither parent nor the family physician can be reached for consent, I consent to the rendering of such emergency medical service for the above named student as shall be necessary in the opinion of the medical staff rendering service.

STUDENT PHOTO, VIDEO, AND MEDIA PERMISSION FORM

During the school year, Oasis Charter Public School may photograph, video record, or collect examples of student work as part of classroom instruction, school activities, and school-sponsored events. These materials may be used to celebrate student learning, document school programs, and communicate with families and the community. When images or materials are shared publicly, only the student’s first name may be used. The student’s last name, home address, or other personally identifiable information will not be disclosed. No compensation will be provided for the use of these materials. Parents/guardians may opt out completely or choose specific areas where their child may appear.

OPTION 1 — FULL PHOTO / MEDIA OPT-OUT

By selecting this option, my child will be excluded from:
● Class photos in the yearbook
● Activity photos in the yearbook
● School displays (such as the RCA House Point Board)
● School website or social media or ParentSquare
● School videos or presentations
● Promotional materials

OPTION 1 - FULL PHOTO / MEDIA OPT-OUT(Required)

YES

Select YES if you DO NOT GIVE PERMISSION for your child to be photographed, video recorded, or included in any school media or promotional materials.

OPTION 2 — SELECTIVE PHOTO / MEDIA PERMISSION

Class Group Photo (Yearbook) – Student may appear in the official class group photo included in the school yearbook.

School Website & Official Communications – Student photos may appear on the school website, ParentSquare communications, newsletters, or official school social media accounts.

Yearbook Activity Photos – Student may appear in candid photos of classroom activities, school events, or assemblies included in the yearbook.

School Videos / Presentations – Student may appear in videos or multimedia presentations used for assemblies, school events, or educational purposes.

School Displays & Internal Platforms – Student photos may appear on campus displays such as the RCA House Point Board, classroom bulletin boards, or the RCA House App, which is accessible only to the Oasis school community.

School Promotional Materials – Student photos may be used in brochures, flyers, presentations, or materials promoting Oasis Charter Public School.

If you are comfortable allowing your child to appear in all or some school photos or media, please check the areas where permission is granted.

Student Name(Required)

First Last

Grade(Required)

Teacher

Parent/Guardian Name

Family Participation Agreement for the 2026-27 School Year

By enrolling my child at Oasis Charter Public School, in agreement with the school’s charter, I commit to support the school and my child’s education by:

Attending BOTH All Family Meetings.(Required)

Please initial

Attending the parent-teacher conferences.(Required)

Please initial

Participating in school wide events.(Required)

Please initial

Having my child go to school on time and making every effort to ensure my child attends school every day.(Required)

Please initial

Supporting the Oasis Charter Public School by modeling appropriate behavior at school.(Required)

Please initial

Reading and holding my child accountable to the Oasis Code of Conduct, understanding there is no tolerance for unwanted physical contact between 2 or more students, or a student against a staff member, at any time, for any reason.(Required)

Please initial

Printed Name(s)

Homeless Children and Youth Services Program Student Housing Questionnaire

The information provided below will help determine what services you and/or your child may be eligible to receive. This could include additional educational services through Title I, Part A and/or the federal McKinney-Vento Assistance Act. The information provided on this form will be kept confidential and only shared with appropriate school district and site staff.

Student's Name(Required)

First Last

Birthdate(Required)

Grade(Required)

Parent/Guardian 1's Name(Required)

First Last

Parent/Guardian 2's Name

First Last

Student's Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

PLEASE SELECT BELOW WHICH BEST DESCIBES YOUR CURRENT LIVING ARRANGEMENT(Required)

Rent or own a home, mobile home, apartment, or condominium.

Sharing housing with other(s) due to loss of housing,economic hardship, natural disaster, lack of adequate housing

Temporarily living in a motel or hotel due to loss of housing, economic hardship, natural disaster, or similar reason

Staying in a shelter (family shelter, domestic violence shelter, youth shelter) or transitional housing

Moving from place to place/couch surfing

Living in car, RV, park, campsite, encampment, or on the street

Living in a residence with inadequate facilities (no water, no heat, or no electricity), shed, or unconverted garage

PLEASE LIST ANY ADDITIONAL CHILDREN LIVING WITH YOU – They qualify for services, too!

Child 1

First Last

Date of Birth

Age

Child 2

First Last

Date of Birth

Age

Child 3

First Last

Date of Birth

Age

Child 4

First Last

Date of Birth

Age

Child 5

First Last

Date of Birth

Age

YOUR CHILD OR CHILDREN MAY HAVE THE RIGHT TO:
*Immediate enrollment in the school they last attended or the local school where you are currently staying, even if you do not have all the documents needed to enroll. *Continue to attend their school of origin. *Receive transportation to and from their school of origin. *Receive special programs and services. *Free school meals. *Receive the full protections and services provided under all federal and state laws, as it relates to homeless children and youth.

As the parent/guardian of the above-named child, I declare under penalty of perjury under the laws of the State of California that the information provided here is true and correct.(Required)

Kindergarten Acknowledgement & Agreement

I (we) acknowledge and agree to the Kindergarten program that Oasis will offer to my child for the 2026-27 school year. The program is based on the following: An appropriate and well-designed play-based approach which supports children to develop the following skills:

An appropriate and well-designed play-based approach which supports children to develop the following skills: ➢ Social, Emotional, Cognitive, and Academic(Required)

Please Initial

Developmentally Appropriate Activities ➢ Organized games and planned academic/learning centers(Required)

Please Initial

Evaluations and Assessments ➢ Observations, student’s work, narratives, rubrics, and formal online assessments(Required)

Please Initial

Children born after Sept. 1, 2021(Required)

Please Initial

**School Hours if your child is NOT ready for a full day of school: 8:30am- 12:30pm Monday through Friday . This determination will be made by teachers and administrators with the collaboration of parents. A meeting will be held before determination is made.(Required)

Please Initial

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Parent/Guardian’s Signature

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Date(Required)

MEDICATION AUTHORIZATION FORM

School Medication Permission Form (CEC 49423). This form must be completed fully for schools to administer the required medication. A new Medication Permission form must be completed each school year for each medication, and whenever there is a change in the pupil’s authorized health care provider, or a change in the medication dosage, method by which the medication is required to be taken, or date(s) or time(s) the medication is required to be taken.

Please download, print, and returned a signed copy of the Medication Authorization Form to the main office:

Oral Health Assessment Requirement

California law (Education Code Section 49452.8) says every child must have a dental check-up (assessment) by May 31st of his/her first year in public school. A California licensed dental professional must do the check-up and fill out Section 2 of this form. If your child had a dental check-up in the last 12 months, ask your dentist to fill out Section 2. If you are unable to get a dental check-up for your child, fill out the separate Waiver of Oral Health Assessment Requirement Form. Please download, print, and returned a signed copy of the Oral Health Assessment Form to the main office.

Health Assessment Requirement

To protect the health of children, California law requires a health examination on school entry. Please have this report filled out by a health examiner and return it to the school. The school will keep and maintain it as confidential information. Please download, print, and returned a signed copy of the Health Assessment Form to the main office.

Student Technology & Acceptable Use Policy (AUP) Agreement

To support student learning, Oasis Charter School provides students with school-issued technology devices (including, but not limited to, Chromebooks) for educational use at school and, when approved, at home. This Technology & Acceptable Use Policy (AUP) Agreement outlines expectations for proper care, acceptable use, and responsibility.

1. Care and Maintenance

Students are expected to take proper care of all school-issued technology devices at all times, whether being used at school and/or at home.

Keep food, drinks, and liquids away from the device at all times.
Do not place heavy objects on the device or close it with items inside.
Keep the device clean and free of stickers, writing, drawings, and markings.
Use the device on a flat, stable surface.
Do not attempt to repair, modify, or alter the device in any way.

2. Storage and Security

Proper storage and security are essential to prevent damage, loss, or theft.

When not in use, the device must be stored in a safe, secure location.
Devices should never be left unattended in vehicles, public places, or unsafe areas.
If a student borrows a device, it should be returned to school fully charged.

3. Acceptable Use

School-issued technology is provided for educational purposes only.

Students must follow all Oasis Charter School technology, internet safety, and acceptable use policies.
Students must only use their school-issued account to access the device.
School monitoring and filtering software may be used on all devices.

Prohibited activities include, but are not limited to:

Accessing, creating, or sharing inappropriate or harmful content.
Using the device for social media, gaming, or non-school-related entertainment unless specifically permitted by a teacher.
Attempting to bypass internet filters, security settings, or monitoring systems.
Installing unauthorized software, apps, or extensions.

4. Consequences for Misuse

Failure to follow this agreement may result in one or more of the following:

Disciplinary action in accordance with school policies.
Temporary or permanent loss of take-home or device privileges.
Financial responsibility for the repair or replacement of the device.

The minimum charge for damage is $50.00. Repeated misuse may result in the device no longer being allowed to be taken home.

5. Damage, Loss, or Theft

Parents/guardians and students acknowledge responsibility for the device while it is issued to the student.

Parents/guardians are financially responsible for any damage, loss, or theft caused by negligence or misuse.
The replacement cost for a lost or irreparably damaged device is $300.00.
Any damage, loss, or technical issues must be reported to the school immediately.

Acknowledgment & Agreement (Technology & AUP)

By signing below, we acknowledge that we have read, understood, and agree to follow the Oasis Charter School Student Technology & Acceptable Use Policy (AUP) Agreement. We understand that the student and parent/guardian are responsible for the care and condition of the device while it is issued to the student.

Student Name:(Required)

First Last

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Signature

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Date

Parent/Guardian Signature

As the parent/guardian of the above-named child, I declare under penalty of perjury under the laws of the State of California that the information provided here is true and correct.

Mother/Guardian 1 Name(Required)

First Last

Father/Guardian 2 Name

First Last

Signature(Required)

Date(Required)

Oasis Charter Public School

Kinder Oasis Enrollment 2026-27 Online (English)

Child's Information

Family Information

EMERGENCY FORM SY 2026-27

Other children in the family:

HOME LANGUAGE SURVEY

Date first enrolled in a California public school:

Date first enrolled in any school in the United States:

STUDENT PHOTO, VIDEO, AND MEDIA PERMISSION FORM

Family Participation Agreement for the 2026-27 School Year

Homeless Children and Youth Services Program Student Housing Questionnaire

Kindergarten Acknowledgement & Agreement

MEDICATION AUTHORIZATION FORM

Oral Health Assessment Requirement

Health Assessment Requirement

Student Technology & Acceptable Use Policy (AUP) Agreement

1. Care and Maintenance

2. Storage and Security

3. Acceptable Use

4. Consequences for Misuse

5. Damage, Loss, or Theft

Acknowledgment & Agreement (Technology & AUP)

Parent/Guardian Signature

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