FALL 2024-25 REGISTRATION

Microschool Registration

To enroll your learner(s) in our microschool program, please fill out the forms below. Once we confirm availability for your requested dates, we'll promptly send you our comprehensive welcome packet with further details. Enrollment is ongoing and subject to availability. Kindly complete a form for each learner separately.

Learner Registration Microschool 2024-25

Learner's First Name

Learner's Last Name

Birthday

Grade (Fall 24')

Pronouns

Parent/Guardian's First Name

Parent/Guardian's Last Name

Home Address

Cell Phone

Home Phone

Please list people who have permission to pick up your learner, and their phone number (ID will be required)

Please list people who DO NOT have permission to pick up your learner, and their phone number

Emergency Contact's First Name

Emergency Contact's Last Name

Home Address

Cell Phone

Home Phone

Relationship to learner

Days attending (Must select at least 2)

Tuesdays

Wednesdays

Thursdays