Rattler Virtual Academy Application
If your student is currently enrolled or would like to enroll in Magazine School District's Rattler Virtual Academy (RVA), please complete this enrollment application for the 2020-21 school year. By registering for RVA, you are committing to one full semester of virtual learning and will not be able to change to full on-site instruction on campus until classes resume for the Spring semester on January 6, 2021. You will need to complete this form for each child you are enrolling in the RVA. The deadline for enrollment for the Fall semester (July 27-December 18) is August 14. Thank you for giving us the opportunity to serve your children.
Student's First Name
Student's Last Name
Was your child enrolled in the Magazine School District in the 19-20 school year?
Student grade level for the 20-21 school year
Parent or guardian's name (person we should contact)
Parent or guardian email address
Parent or guardian phone number
Student address as of July 27, 2020?
Does your child receive special services? (ex. Special education, dyslexia interventions, 504 plan, ESL, gifted and talented, Occupational Therapy, Physical therapy, mental health services)
Please indicate the service(s) your child is scheduled to receive in the 2020-21 school year.
Services or modifications from a 504 Plan
English Language Learner services
Gifted and Talented
Mental Health Services (from an outside agency)
No services needed
Sonday/Characteristic of Dyslexia Services
Your child can receive a school-issued Chromebook on loan for RVA. We request that you provide the internet for your student, although some allowances may be allowed. Will internet access be an obstacle for your children's full participation in RVA?
No, internet will not be an obstacle. We have access to internet.
I have access to the internet, but I am concerned that it is not adequate for full time virtual learning.
I have no access to internet or cell reception in my home.
I am homeless or having financial difficulties that cause me to be unable to provide internet access for participation in RVA for my child.
Never submit passwords through Google Forms.
This form was created inside of Magazine Public Schools.