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2023-24 Hearthstone School Interest Form
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/
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* Indicates required question
Email
*
Your email
Parent First Name (Legal Guardian)
*
Your answer
Parent Last Name (Legal Guardian)
*
Your answer
Student First Name (Legal Name)
*
Your answer
Student Last Name (Legal Name)
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Grade Level (for year 2023-2024)
*
Choose
TK
Kinder
1
2
3
4
5
6
7
8
9
10
11
12
Parent Contact Phone Number
*
Your answer
Parent Contact Email
*
Your answer
Would you like to attend a school tour and information meeting?
*
Yes
No
When would you like to enroll this student?
*
Fall 2023
Is this student a sibling of a currently enrolled Hearthstone student?
*
Yes
No
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
Your answer
Student Physical Address
Your answer
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