Intent to Enroll Form
This is not an enrollment document. Completion of this form confirms you will be notified when enrollment opens for the year indicated. **** Enrollment is open for the 2020-2021 school year; this form should not be filled out for enrollment of the 2020-2021 school year.**** We encourage all prospective families to attend an Informational Meeting. Informational Meetings are designed to help prospective students and their parents understand CECCS's unique program. While not required, we strongly encourage both parents and students to attend. You will have an opportunity to meet CECCS staff members and ask any questions you might have after the presentation. Reservations are not required to attend Informational Meetings at CECCS.
Today's Date
*
-
Month
-
Day
Year
Date
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian's email
*
example@example.com
Parent/Guardian's Phone Number
*
-
Area Code
Phone Number
Your address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Year of anticipated enrollment
*
2021
2022
2023
2024
Please choose one
Choose one that applies:
*
I plan to be a full time student at CECCS
I plan to be a part time student (enrolled in a private school or home school program taking only a couple of classes through CECCS)
Student's Name
*
First Name
Last Name
Student's email address
example@example.com
Student's phone number
-
Area Code
Phone Number
Siblings who have attended CECCS:
How did you hear about CECCS?
Submit
Should be Empty: