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 K-8. This Google Form is for students already enrolled in the Kiel Area School District.
Email address *
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?
Clear selection
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?
Clear selection
A copy of your responses will be emailed to the address you provided.
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