2023-24 Hearthstone School Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is ONLY FOR THE CURRENT SCHOOL YEAR (2023-24)

To access the Interest Form for NEXT school year, please click HERE or open our website at https://www.hearthstoneschool.net/

Email *

Parent First Name (Legal Guardian) *

Parent Last Name (Legal Guardian) *

Student First Name (Legal Name) *

Student Last Name (Legal Name) *

Student Date of Birth *

YYYY

Student Grade Level (for year 2023-2024) *

Parent Contact Phone Number *

Parent Contact Email *

Would you like to attend a school tour and information meeting? *

Yes

When would you like to enroll this student? *

Fall 2023

Is this student a sibling of a currently enrolled Hearthstone student? *

Yes

Do you know which Program you are interested in? *

TK-8 Independent Study

TK-8 Hybrid (Independent Study + support/classes T/TH)

9-12 Independent Study (+Math class)

9-12 Edgenuity on-line (+Math class)

9-12 Hybrid (Independent Study + support/classes M/W/F)

School Student Is Currently Enrolled

Student Physical Address

Clear form

Never submit passwords through Google Forms.

This form was created inside of Butte County Office of Education.

Does this form look suspicious? Report