Homeschool and Private Tutoring Registration

Complete a separate form for each child.

Parent/Guardian's Name

Street Address

Apt/Unit

Zip Code

Phone Number

Email Address

Student's First Name

Student's Last Name

Date of Birth

mm/dd/yyyy

Current Age

Gender

Female

Male

Grade Requesting

School Year Requesting

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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