Enrolling for 2022-23 School Year "*" indicates required fields Parent/Guardian of StudentParent/Guardian Name* First Last Email* Enter Email Confirm Email Phone*How do you prefer we begin communicating with you?* Call Text Email Student #1Student #1 Name* First Last Student #1 Current Grade Level*We are not enrolling students in 12th grade, at this time.Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeWhere does Student #1 attend school?* Which school year are you interested in enrolling Student #1?* '22-'23 '23-'24 Student Program of Choice*100% VirtualBlended(K-5 only)Student #1 2nd Program of Choice100% VirtualBlended(K-5 only)N/AIf any, please select any special services the student is receiving. 504 Plan English as a Second Language (ESL) Individualized Education Program (IEP) Other (Please explain in detail below) If Student #1 is receiving any special services, please list and explain below.ex: 504 Plan, IEP, Speech Therapy, etc Add RemoveDo you have another student you wish to enroll?* Yes No Student #2Student #2 Name* First Last Student #2 Current Grade Level*We are not enrolling students in 12th grade, at this time.Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeWhere does Student #2 attend school?* Which school year are you interested in enrolling Student #2?* '22-'23 '23-'24 Student Program of Choice*100% VirtualBlended(K-5 only)Student #2 2nd Program of Choice100% VirtualBlended(K-5 only)N/AIf any, please select any special services the student is receiving. 504 Plan English as a Second Language (ESL) Individualized Education Program (IEP) Other (Please explain in detail below) If Student #2 is receiving any special services, please list and explain below.ex: 504 Plan, IEP, Speech Therapy, etc Add RemoveDo you have another student you wish to enroll?* Yes No Student #3Student #3 Name* First Last Student #3 Current Grade Level*We are not enrolling students in 12th grade, at this time.Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeWhere does Student #3 attend school?* Which school year are you interested in enrolling Student #3?* '22-'23 '23-'24 Student Program of Choice*100% VirtualBlended(K-5 only)Student #3 2nd Program of Choice100% VirtualBlended(K-5 only)N/AIf any, please select any special services the student is receiving. 504 Plan English as a Second Language (ESL) Individualized Education Program (IEP) Other (Please explain in detail below) If Student #3 is receiving any special services, please list and explain below.ex: 504 Plan, IEP, Speech Therapy, etc Add RemoveDo you have another student you wish to enroll?* Yes No Student #4Student #4 Name* First Last Student #4 Current Grade Level*We are not enrolling students in 12th grade, at this time.Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeWhere does Student #4 attend school?* Which school year are you interested in enrolling Student #4?* '22-'23 '23-'24 Student Program of Choice*100% VirtualBlended(K-5 only)Student #4 2nd Program of Choice100% VirtualBlended(K-5 only)N/AIf any, please select any special services the student is receiving. 504 Plan English as a Second Language (ESL) Individualized Education Program (IEP) Other (Please explain in detail below) If Student #4 is receiving any special services, please list and explain below.ex: 504 Plan, IEP, Speech Therapy, etc Add RemoveDo you have another student you wish to enroll?* Yes No Student #5Student #5 Name* First Last Student #5 Current Grade Level*We are not enrolling students in 12th grade, at this time.Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeWhere does Student #5 attend school?* Which school year are you interested in enrolling Student #5?* '22-'23 '23-'24 Student Program of Choice*100% VirtualBlended(K-5 only)Student #5 2nd Program of Choice100% VirtualBlended(K-5 only)N/AIf any, please select any special services the student is receiving. 504 Plan English as a Second Language (ESL) Individualized Education Program (IEP) Other (Please explain in detail below) If Student #5 is receiving any special services, please list and explain below.ex: 504 Plan, IEP, Speech Therapy, etc Add RemoveDo you have another student you wish to enroll?* Yes No Student #6Student #6 Name* First Last Student #6 Current Grade Level*We are not enrolling students in 12th grade, at this time.Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th GradeWhere does Student #6 attend school?* Which school year are you interested in enrolling Student #6?* '22-'23 '23-'24 Student Program of Choice*100% VirtualBlended(K-5 only)Student #6 2nd Program of Choice100% VirtualBlended(K-5 only)N/AIf any, please select any special services the student is receiving. 504 Plan English as a Second Language (ESL) Individualized Education Program (IEP) Other (Please explain in detail below) If Student #6 is receiving any special services, please list and explain below.ex: 504 Plan, IEP, Speech Therapy, etc Add RemoveNameThis field is for validation purposes and should be left unchanged. 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