Between the Lakes Virtual Academy Enrollment Form
Please complete the questions below to enroll your child into the Between the Lakes Virtual Academy for Grades 4K-8.   This Google Form is for students already enrolled in the Kiel Area School District.
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Email *
Child's First Name *
Child's Last Name *
Child's grade level *
Child's Cell (if applicable)
When is the best time to contact your child? *
Parent 1:  First and Last Name *
Parent 1:  Phone Number *
Parent 1: Is this number a  cell or home phone? *
Parent 1:  Email address
Parent 1:  What is the best way to contact Parent 1? *
Required
Parent 1:  When is the best time to contact Parent 1? *
Required
Parent 2:  First and Last name
Parent 2:  Phone Number
Parent 2:  Is this a cell or home phone?
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Parent 2:  Email address
Parent 2:  What is the best way to contact Parent 2?
Parent 2:  When is the best time to contact Parent 2?
Home Mentor's Name (person responsible for helping ensure successful learning in the home environment) *
Why has your family chosen to enroll in Between the Lakes Virtual Academy? *
Tell us about your child:  Any child health concerns? *
Tell us about your child:  Any academic or learning concerns? *
Tell us about your child:  Is there anything else that might be really important for us to know about your child?
Parent feedback is very important to us:  Would you be willing to be part of a parent advisory committee?
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A copy of your responses will be emailed to the address you provided.
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