Preview mode
Published
Copy responder link
Request edit access
EdFlexOntario Inquiry Form

Thank you for your interest in the EdFlexOntario virtual program. 

Once you have submitted the form, we will be in contact with you. 

Email *
The best phone number to reach you at: *
Preferred method of communication: *
If you would prefer a call, please specify when the best time to get in contact with you is: 
Student's First Name
Student's Last Name
Enrolling Grade for the 2025-2026 school year?
Clear selection
Last school district or institution your student attended or is currently enrolled in?
Has your student ever been enrolled in an online/hybrid program?  *
Is your student on a an IEP or 504 plan? 
Clear selection
Student's Current Address
*
Please tell us a little bit about why you are interested in EdFlex Ontario for your student.
Is there anything else you would like to share with us about your student?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Ontario School District.

Does this form look suspicious? Report