Homeschool and Private Tutoring Registration

Complete a separate form for each child.

Parent/Guardian's Name*

Street Address*

Apt/Unit

Zip Code*

Select

Phone Number*

Email Address

Student's First Name*

Student's Last Name*

Date of Birth*

Current Age*

Gender*

Female

Male

Grade Requesting*

Select

School Year Requesting

Select or enter value

Special Education*

Yes (requires documentation)

Private Tutor*

Yes (requires documentation)

Private Tutor's Name

File Upload*

1. Affidavit (Required) 2. Educational Objectives (Required) 3. Objectives Approval (Required for Special Needs students) 4. Immunizations/Exemption Form (Required for new students, 7, 12) 5. Dental Exam (Required for grades 3 & 7) 6. Medical Exam (Required for grade 6 & 11) 7. Private Tutor Documentation (If applicable) 8. Request to participate in Curricular or Extra-curricular activities (if applicable)

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