Specialty Program Interest Form
Please complete one form per student if you intend to enroll your child in the Curious Kids Specialty Program through Inspire Charter School. You will have to complete the process of enrollment through Inspire by contacting your teacher, if you are a returning student, or supplying the Specialty Program Enrollment Certificate if you are a new student.

If you are not an Inspire student, but interested in enrolling for one or two full days a week, please complete this form as well and we will contact you with more information. Thank you!

School Status *
If you are with a charter school other than Inspire, or an independent homeschooler, we will contact you with information about one or two day program enrollment options.
Student's Name *
What is the name of the student enrolling in the program?
Your answer
Parent/Guardian Name *
What is the name of the parent or guardian completing the form?
Your answer
Email Address *
What is your email address?
Your answer
Mailing Address *
What is your full mailing address? Include the City, State, and Zip Code.
Your answer
Phone Number *
Please include the area code.
Your answer
Student's Birthdate *
MM
/
DD
/
YYYY
Grade Level *
What grade will your student be in Fall 2018?
Interest *
What type of classes are you interested in for this student?
Required
Comments *
Do you have any questions or comments?
Your answer
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