Grove Academy Enrollment Agreement

Grove Academy Enrollment Agreement

Berne Union High School
Please make sure you have read and understand the Grove Academy Overview on our website before completing this form.
Student Name:
Student Email:
example@example.com
Grade Level
Parent/Guardian Name:
Parent/Guardian Email:
example@example.com
Address

Street Address

PO / Apt #

CityState / Province

Postal / Zip Code
Student Phone #:
Format: (000) 000-0000.
Parent/Guardian Phone #:
Format: (000) 000-0000.
Course Requested:
Student Signature:
Parent/Guardian Signature:
Should be Empty: