Start Here: Family Interest Form

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 NameLast 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:

MonthDayYear
Date
Would you like to get updates on our programs, offerings, and events?
Student Information
Student Name

First NameLast Name
Student Age
Grade for 2026-2027
Which programs are of interest for this student?
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?
Additional Child Information:
Student Name

First NameLast Name
Student Age
Grade for 2026-2027
Which programs are of interest for this student?
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?
Is there anything else you would like us to know?
What would you like to do next?
Should be Empty:

Family Interest Form

Welcome!

Parent/Guardian Information

Student Information

Additional Child Information: