Alsea Online Pre-Registration Form
To receive more information about our program, please complete the form below and our enrollment counselor will connect with you! Be sure to visit our website -
https://www.alseaonline.com/home
* Required
Student Name:
*
Your answer
Parent/Guardian Name (if under 18):
Your answer
How did you hear about us?
*
Web search
Word-of-mouth
Social Media
Program website
Other:
Email (Parent email of students under 18):
*
Your answer
Best phone number (parent if under 18) Please note if there is a best time to call:
Your answer
Student(s) grade in fall 2020:
*
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Other:
Required
Reason for choosing online learning:
*
Individualized learning
Medical/health issues/concerns that prevent in-person schooling
Flexibility of schedule
Mental health concerns (anxiety/depression)
Teen parent
Homeschool school enhancement
Other:
Do you have daily internet access and a working computer (not mobile device)?
*
Yes
No
Other:
Prior School and District (2019-2020)
Your answer
Additional questions or comments:
Your answer
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