2024/2025 BWA Enrollment Application

Guardian #1 Information
Guardian #1 Name*

First NameLast Name
Guardian Relationship*
E-mail (should be primary)*
Phone Number*
Guardian #1 Phone Type
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Is one or more Parent/Guardian a full-time member of the Army, Navy, Air Force, Marine corps, Coast Guard or National Guard? OR is one or more Parent/Guardian on active duty for at least 180 days with a military reserve unit?*

YesNo
Guardian #2 Name

First NameLast Name
Guardian Relationship
E-mail
Guardian #2 Phone Number
Guardian #2 Phone Type
Address

Street Address

Street Address Line 2

CityState

Zip Code

Other Family Members

Please list one sibling or other member of the student's immediate household who is CURRENTLY ENROLLED with Bake Web Academy.
Household Member's FULL NAME*

First NameLast Name
Household Member's Birth Date*

MonthDayYear
Household Member's Current GRADE LEVEL*
I have more than one sibling or other household member currently enrolled with Baker Web Academy

YesNo

Current School Information
What school district do you currently live in?*
Please list the most recent school the student has attended. Please enter "homeschool" if the student has only been homeschooled.*
City and State of the most recent school attended*

24/25 BWA Application