Adventure Online Academy Interest Form
Thank you for your interest in Waldron Public Schools' Adventure Online Academy! Upon completion of this form, an AOA representative will contact you with more information about the program.

All sections must be completed in order to submit your information. Partially completed forms cannot be saved. If you have more than one child, please complete a form for each child.
Student's First Name *
Student's Last Name *
Gender *
Student's Date of Birth *
MM
/
DD
/
YYYY
Contact Phone Number *
Grade Level for 2020/2021 School Year *
Mailing Address: If PO Box, please add physical address as well *
City *
State (please check box) *
Column 1
Arkansas
Zip Code *
Guardian's First Name *
Guardian's Last Name *
Guardian's Phone Number *
Guardian's Email *
By checking the box below, I understand that a student will be enrolled only after student and guardian interview with AOA staff verifying all requirements are met and commitments are understood. *
Required
By entering your name and date below, you are stating that you have the legal authority to make educational decisions on behalf of the student you are registering. By submitting this form, you agree to receiving personalized communications from our program provider. You can opt out of these communications at any time. You also agree that you are 13+ years old. * *
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