Student Interest Form
Parent/Guardian Information
Parent/Guardian's Full Name
*
First Name
Last Name
Spouse/Partner Full Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
Student Information
How many children do you have that are seeking membership?
*
What ages are your children?
*
What grade levels are your children entering (if you use that system)?
*
Have you already withdrawn your child(ren) from public school?
*
Can your child(ren) take part in regular physical activities?
*
Alternative Programs
What programs are you interested in?
Enrollment type
*
August 26, 2024 through May 30, 2025
Freedom Project Academy (FPEUSA.org)
Supervised Study (Your own boxed curriculum)
Combination (multiple children)
Unsure (Still exploring options)
Would you be interested in a relaxed style curriculum for reading/writing, math, history, and science? *this is not currently an offered option, but we want to see if there is an interest for it.
yes
no
unsure
Summer Camp Trial (Dates subject to change)
Summer 2024
Freedom Project Academy (FPAUSA.org) July 1 -5
Supervised Study (Your own boxed curriculum) 8 - 12
Camp Constitution, August 12 - 16
Please list, with a much detail as possible, any mental health/medical concerns that we should be aware of:
Do you want to add any additional relevant information?
Submit
Should be Empty: