Family Interest Form
Welcome!
Thank you for your interest in our programs! Once we receive your submission we will reach out with next steps.
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Zip Code
*
How did you hear about us?
*
Desired Start Date:
-
Month
-
Day
Year
Date
Student Information
Student Name
*
First Name
Last Name
Student Age
*
Grade for 2026-2027
Please Select
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Not sure
Which programs are of interest for this student?
*
Core Learning Program 5 days/week
Enrichment Learning Program (Wed-Fri)
Visual and Performing Arts (V.A.P.A.) Club
Frontier Girls
Do you plan to use charter school funds? If yes, please state the name of your charter and which day/program you plan to pay for with charter funds. Eligible days/programs: Science Wednesday, Social Studies & PE Thursday, Enrichment Friday, Visual and Performing Arts Club.
Please describe the student's learning history, including: schooling up to this point, any learning challenges, study habits, and anything else you would like to share. If your child has been diagnosed with learning, developmental, or emotional disabilities, please describe. Note: we do not offer Special Education services and cannot accommodate students who need significant 1-on-1 support throughout the day. Our program is best suited for students who can work independently and in small group settings.
*
Has this student ever been removed from a learning setting due to behavioral, social, or emotional reasons? If yes, please explain.
How many hours of screen time is this student exposed to per week?
Would you like to add information for another child?
Yes
No
Additional Child Information:
Student Name
First Name
Last Name
Student Age
Grade for 2026-2027
Please Select
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Not sure
Which programs are of interest for this student?
Core Learning Program 5 days/week
Enrichment Learning Program (Wed-Fri)
Visual and Performing Arts (V.A.P.A.) Club)
Frontier Girls
Do you plan to use charter school funds? If yes, please state the name of your charter and which day/program you plan to pay for with charter funds. Eligible days/programs: Science Wednesday, Social Studies & PE Thursday, Enrichment Friday, Visual and Performing Arts Club.
Please describe the student's learning history, including: schooling up to this point, any learning challenges, study habits, and anything else you would like to share. If your child has been diagnosed with learning, developmental, or emotional disabilities, please describe. Note: we do not offer Special Education services and cannot accommodate students who need significant 1-on-1 support throughout the day. Our program is best suited for students who can work independently and in small group settings.
Has this student ever been removed from a learning setting due to behavioral, social, or emotional reasons? If yes, please explain.
How many hours of screen time is this student exposed to per week?
Our program is best suited for families who value academic effort, consistent attendance, and a respectful classroom environment. Students are encouraged to take responsibility for their work and behavior. Is this aligned with your family's values and expectations?
*
Yes
I'm not sure, I'd like more information.
No, this is not what I'm looking for.
Is there anything else you would like us to know?
What would you like to do next?
*
Schedule a tour or call (required for Core and Enrichment Learning registration)
Request more information by email
My tour/call has already been scheduled
Submit
Should be Empty: