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Wildflower Enrollment Interest List
Thank you for your interest in Wildflower Open Classroom! Please fill out this interest form to add your child to our list for future enrollment at Wildflower. If you are wanting to enroll more than one child, please fill out the form for each child. Feel free to contact the office with any questions at (530) 892-1676.
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Email *
Student's Legal Last Name *
Student's Legal First Name *
Parent's Legal Last Name *
Parent's Legal First Name *
Parent's Phone Number *
Student's Birth Date *
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Grade Level in 2021-2022 *
Your Student's Neighborhood Chico Unified District School. (Where your child would go to school depending on your address) *
Sibling Information. Please include the names, grades, and ages of younger and school aged siblings. *If you wish to enroll more than one child, please fill a new form out for each student. *
Does your child have a special education individualized education plan (IEP) on file?
Does your child have a section 504 on file?
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