Title IX Statement

"No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance." — Title IX of the Educational Amendments Act of 1972.

Inquiry/Enrollment Form

Parent/Guardian 1*

First Name

Last Name

Email Address

Phone

Street

Street Address Line 2

Parent/Guardian 2*

First Name

Last Name

Email Address

Phone

Street

Street Address Line 2

Emergency Contact 1

First Name

Last Name

Phone Number

Student Profile

Student Name

First Name

Middle Name

Current Age

Current Grade

Current Learning Environment

Public School

Private School

Homeschool

Other

Quantitative Data

Current Grade Point Average

Qualitative Data

We want to know more about your child outside of academics. Use this space to describe your child's interests, strengths, personality.

Special Needs and Support

This section is designed to help us create an educational program that benefits every student. Please respond as accurately as you can.

Does your child have an IEP, 504 Plan, or specific accommodation? Are there sensory sensitivities or behavioral needs we should be aware of to ensure a successful experience? If yes, please list the type of educational plan.

Do you have any concerns or interests about your child's academic or social development? If yes, please explain.

Which schedule are interested in exploring?

2-Days In Person 3 Days Virtual

3-Days In Person 2 Days Virtual

5 Days In Person