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Forest Hills Academy of Digital Learning Enrollment Form

Please complete the form below. Required fields marked with an asterisk *

Student First Name*

Answer required for "Student First Name"

Student Last Name*

Answer required for "Student Last Name"

Grade Level for the 2024-2025 School Year*

Answer required for "Grade Level for the 2024-2025 School Year"

Birth Date*

Answer required for "Birth Date"

Gender*

Answer required for "Gender"

Female

Male

Student Mailing Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Does the student have an IEP (Special Education Student)?*

Answer required for "Does the student have an IEP (Special Education Student)?"

No, the student does not have an IEP.

Yes, the student has an IEP.

Do you have a computer with high-speed internet access at home?*

Answer required for "Do you have a computer with high-speed internet access at home?"

Yes

Is a parent or guardian at home throughout the school day?*

Answer required for "Is a parent or guardian at home throughout the school day?"

Yes

Primary Parent/Guardian Contact Information

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name*

Answer required for "Parent/Guardian Last Name"

Parent/Guardian Email *

Answer required for "Parent/Guardian Email "

Parent/Guardian Mobile Phone*

Number Required

Parent/Guardian Home Phone

Number Required

Parent/Guardian Work Phone

Number Required

Parent/Guardian #2 Contact Information

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Email 1

Answer required for "Email 1"

Mobile Phone

Number Required

Home Phone

Number Required

Work Phone

Number Required

How did you learn about the Forest Hills Academy of Digital Learning?

Answer required for "How did you learn about the Forest Hills Academy of Digital Learning?"

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"