River Valley Virtual Academy: 2-Week Orientation Sign-Up
Thank you for your interest in River Valley Virtual Academy!

We are now taking applications for the 2020-2021 school year! To begin the enrollment process, please complete our form to sign up for a 2-Week Orientation, which allows you to try our program before enrolling.

The form takes under five minutes to complete. All sections must be completed in order to submit your information. Partially completed forms cannot be saved. If you have more than one child, please complete a form for each child.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student Phone *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Gender *
Current Grade Level *
Street Address (No PO Box) *
Your answer
City *
Your answer
State *
Required
Zip Code *
Your answer
Guardian First Name *
Your answer
Guardian Last Name *
Your answer
Guardian Phone *
Your answer
Guardian Email Address *
Your answer
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