Free Trial & Scholarship Interest Form
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Interest Form
Parent Information
Mother Name
*
First Name
Last Name
Mother Email
*
example@example.com
Mother Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father Name
*
First Name
Last Name
Father Email
*
example@example.com
Father Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Information
Student Name
*
First Name
Last Name
Student Birthday
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade Level for 2026-2027 Academic Year
*
Please Select
6th Grade
7th Grade
8th Grade
If you are with a charter please select Charter below.
*
Please Select
BEST Academy
Cabrillo Point
Excel
iLead
Sage Oaks
Sky Mountain
Suncoast Prep
Taylion
PSA or Not Using Charter Funds
Allergies (If non please write "none"
*
Are you interested in scholarship opportunities?
*
Yes, I’d like to learn more about scholarship opportunities.
Maybe, I’d like more information.
No, thank you.
What best describes your student’s current learning environment?
*
Public school
Private school
Charter school
Currently homeschooling independently
Homeschooling at another learning center or homeschool program
Homeschooling, but looking for more academic support
Homeschooling and looking for more socialization & community
Considering homeschooling for the first time
Tell us a little more about your student. Is there anything you’d like us to know about your student, what you’re looking for, or what you hope to find in a new learning environment?
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