WonderED K-12 Academy Enrollment

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This form is for the 2024-25 School Year

Student First Name*

Student Last Name*

Date of Birth*

Date

Phone Number*

Please enter a valid phone number.

Current Grade*

Current School*

Desired Graduation Year

Gender*

Ethnicity*

Hispanic/Latino*

YesNo

Street*

City*

State*

Zip*

Parent/Guardian First Name

First Name

Parent/Guardian Last Name

Last Name

Parent/Guardian Email*

Parent/Guardian Phone Number

Please enter a valid phone number.

Secondary Email

example@example.com

Secondary Phone Number

Please enter a valid phone number.

Preferred Language for Communication*

Please indicate if the student has any of the following accomodations*

Individual Education Plan (IEP)504 PlanDon't KnowNone of the above

Please indicate if the student has any of the following:*

State Educational Savings Account (ESA)School Choice/State ScholarshipOtherNone of the above, but I'm interested in learning more

How did you hear about WonderED K-12 Academy?*

Please Sign Below*

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