VA Enrollment Form
The questions on this survey supports our staff in ensuring that your child receives the best education. Please be sure to answer all of the questions. Also, if you refer a friend to apply, you can receive a free Village Academy uniform shirt!
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Email *
Guardian's First & Last Name *
Guardian's Email *
Guardian's Phone Number *
Child's First & Last Name *
Child's Current School *
Home Address *
Grade Level Entering At Village Academy *
Does your child have an IEP? *
I was referred by *
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