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A-La-Carte Student Enrollment Form (Grades 4-12)
Please fill out this form after you have filled out the application form. If you have not filled out the application form for 2024, please so so here and pay the registration fee to hold your spot. Application Form 2024-25 This form is primarily for grades 7-12 with some 4-6 grade students who might be choosing electives on Tuesday/Thursday. 
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Lillian Harris *
Grade Level *
Please choose your class(es). 
If your choice was math, will your student be using our recommendation of Saxon Math? 
Does your student have a device he/she is able to use for school?  *
Required
Do you know your student's reading level?  *
Does your student have any allergies or medical needs the teacher should be aware of?  *
Will you agree to a parent meeting on August 26th, 7 - 8:30 pm?  *
If your child destroys property while on campus, do you agree to reimburse the appropriate party?  *
Do you agree to keep your child at home if he/she displays symptoms of infectious illness or bugs?  *
Do you agree to hold harmless the instructors at the Green Room and the church campus for accidental injury, illness, or death that may occur while on campus?  *
Do you agree to order curriculum and purchase materials needed for the school year and to send your student prepared for class?  *
Would you like to enroll your child for the entire school year, or just this coming semester?  *
Do you agree to maintain communication with your student's teachers upon request and to reach out to the teacher if your student is facing challenges?  *
Is there anything else you would like your child's teacher to know? 
Name of Parent/Guardian filling out this form and relationship to child.  *
Parent email address or phone number  *
What is your preferred method of communication? 
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