ALPINE ACADEMY STUDENT ENROLLMENT FOR 2021-2022 SCHOOL YEAR
* Required
Email address
*
Your email
Are you enrolling for the 2021-2022 school year?
*
Yes, my student is an incoming freshman/new student
Yes, my student is re-enrolling
No, my student is transferring to a different school
Student's Legal Name (Last/First, Middle)
*
Your answer
Student's preferred name/nickname
Your answer
Sex
*
Choose
Male
Female
Current Grade (2020-2021)
*
Choose
8
9
10
11
12
Student's physical address
*
Your answer
Student lives with (If not with parents, documentation must be provided)
*
Both Parents
Mother
Father
Back and forth between households
Other:
Required
Student's Birthdate
*
Your answer
Student's Birth City
*
Your answer
Previous school name/ year
*
Your answer
Is student Latino/ Hispanic
*
Yes
No
Ethnic Code (Check all that apply)
*
American Indian/ Alakan Native
Asian/Pacific Islander
Black/African American
White
Two or more races
Required
Check all that apply
*
My student has an IEP
My student has a 504 Plan
My student does not have any special accommodations
Required
Is your student under juvenile probation, suspended or expelled by current school?
*
Yes
No
Primary guardian 1 (ex. mother) Full Legal Name
*
Your answer
Primary guardian 1 is
*
Natural Father
Guardian
Foster Parent
Have parental rights been revoked? If yes, you must supply documentation
*
Yes
No
Primary guardian 1's physical address (if different than student's)
Your answer
Primary guardian 1's cell phone number
*
Your answer
Primary guardian 1's email address
*
Your answer
Check how you would like to receive notifications from Alpine Academy
*
Email
Phone Call
Text
Required
Primary guardian 2's full legal name
*
Your answer
Primary guardian 2's is
*
Natural Parent
Guardian
Foster Parent
Have parental rights been revoked? If yes, you must supply documentation
*
Yes
No
Primary guardian 2's physical address if different from student's
Your answer
Primary guardian 2's cell phone number
*
Your answer
Primary guardian 2's Email
*
Your answer
Check how you would like to receive notifications from Alpine Academy
*
Email
Phone Call
Text
Required
Stepparent living with student
Your answer
Stepparent's phone number
Your answer
Local Emergency Contact #1 include name, relationship to student, and cell phone #
*
Your answer
Local Emergency Contact #2 include name, relationship to student, and cell phone #
*
Your answer
Electives for the next year (please pick your top three choices)
Art 1
Art 2
Ceramics 1
Ceramics 2
Voice Ensemble
Spanish 1
Spanish 2
Yearbook (Please complete course application prior to approval. Follow this link
https://forms.gle/4MihPE2AzjqLmtfVA
)
Leadership (Please complete course application prior to approval. Follow this link
https://docs.google.com/forms/d/e/1FAIpQLSdJoEjEq-_9-NKoN6FOHzI867V0NvXmElWhL2iMQLIUEmfTsA/viewform?vc=0&c=0&w=1
)
Creative Writting
Seminar (Study hall)
TMCC Onsite class: Anthropology 101 (must have permission from administration)
TMCC full time (must have permission from administration)
Fast Track Math (must be approved by math teacher)
Physical Education
Ukulele
Math Skills
A copy of your responses will be emailed to the address you provided.
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