VPCS Intent to Enroll Form 2019-2020
VISION PREP IS CURRENTLY ACCEPTING INTENT TO ENROLL FORMS FOR GRADES K-5.
PLEASE COMPLETE THE ONLINE FORM BELOW.
Student Information
Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Birthdate *
MM
/
DD
/
YYYY
What grade will your student be entering in the 2019-2020 school year? *
Does the student currently receive special education services under an Individualized Education Plan (IEP) or 504 plan? *
Family Information
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1 Last Name *
Your answer
Relationship to Student *
Your answer
Street Number *
Your answer
Street Name *
Your answer
Apt #
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone *
(xxx) xxx-xxxx
Your answer
Home Phone
(xxx) xxx-xxxx
Your answer
Work Phone
(xxx) xxx-xxxx
Your answer
E-mail *
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 Last Name
Your answer
Relationship to Student
Your answer
Street Number
Your answer
Street Name
Your answer
Apt #
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Cell Phone
(xxx) xxx-xxxx
Your answer
Home Phone
(xxx) xxx-xxxx
Your answer
Work Phone
(xxx) xxx-xxxx
Your answer
Email
Your answer
Sibling Information
Please provide the following information about the applicant's siblings. Please remember that each child will need to submit a separate application for enrollment.
Sibling 1 Name
Your answer
Sibling 1 Age
Your answer
Sibling 2 Name
Your answer
Sibling 2 Age
Your answer
Sibling 3 Name
Your answer
Sibling 3 Age
Your answer
How did you hear about Vision Preparatory Charter School? *
Your answer
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