• BTE 21st CENTURY DISCOVERY INSTITUTE

    Student Enrollment Form
  • Additional Documents for Registration 

    Complete this registration form by May 31st to be considered for admission.

    In additon to this form, you will need:

    Copy of Student's Birth Certificate
    Current Immunization Form
    Copy of any IEP or 504 Documentation
    Declaration of Intent (only for students choosing to CO-OP)
     

    Tuition Agreement (Provided after student acceptance)
    Medical Release Agreement (Provided after student acceptance)
    Media Release Agreement (Provided after student acceptance)
    Technology Use Agreement (Provided after student acceptance)
    Field Trip Experience Agreement (Provided after student acceptance)

  • Student Information

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    Pick a Date
  • Parent/Guardian Contact Information

  •  -
  • Emergency Contacts (Please lists adults authorized to check out student from school)

  • IMPORTANT

  • Clear
  •  /  /
    Pick a Date
  •  
  • Should be Empty:
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