2025-2026 Prairie Seeds Academy Interest Form
Thank you for your interest in Prairie Seeds Academy.  Please complete this form for new students who are interested in attending Prairie Seeds Academy(PSA). Completion of the Enrollment Interest Form does not guarantee acceptance into PSA. 

After the form has been reviewed, an application packet will be sent to you.

Please note - if you are filling for more than one student, you must complete a form for each student.

By completing this form, you certify that all information is correct and verified.  Any errors may result in an invalid response.

Thank you.
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Student's Full Name (Please include First Middle Last) *
Grade Level in 2025-2026 *
Does this student have a sibling currently enrolled at Prairie Seeds Academy? Only check "Yes" if a sibling is enrolled at PSA during the 2025-2026 school year. *
Required
Parent/Guardian 1 Name *
Parent/Guardian 1 Email
Parent/Guardian 1 Preferred Phone *
Parent/Guardian 1 Secondary Phone
Parent/Guardian 1 Address *
Parent/Guardian 2 Name
Parent/Guardian 2 Email
Parent/Guardian 2 Preferred Phone
Parent/Guardian 2 Secondary Phone
Parent/Guardian 2 Address
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