Complete the form below to begin your application process. If your child is accepted, you will be sent a email to complete our registration process.

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Student Name *

First

Last

or agree children

Date of Birth *

What grade is the student enrolling into? *

Courses Desired (Check all that apply) *

• ELA
• Mathematics
• Science
• Social Studies
• Art
• Critical Thinking
• Physical Education
• Spanish
• Social Skills
• Cursive

Does the student have a IEP or 504?

• Yes
• No

Does your child or children receive any of the "Step-Up" Scholarships?

• Yes
• No

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Permission & Agreement *

• I agree and give my permission

I give the academy to evaluate my child for admission to the academy.

I agree to the following charge *

• Registration Fee – $50.00

Submit