JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Interested in Student Registration Application for Pacific Heritage Academy Charter Schools 2023-2024 School Year
Fill this form out to register or to be placed on our waiting list (ONE FOR EACH CHILD)
* Indicates required question
Email
*
Your email
REGISTRATION INFORMATION IS AVAILABLE ON OUR WEBSITE / LA INFORMACIÓN DE REGISTRO ESTÁ DISPONIBLE EN NUESTRO SITIO WEB
https://phlearning.org/registration/
Parent(s) First and last name / Nombre completo del Pariente
*
Your answer
Child's First and last name / Nombre completo de hijo/a
*
Your answer
Child's date of birth / Fecha de nacimiento del estudiante
*
MM
/
DD
/
YYYY
Grade student will attend at Pacific Heritage Academy (school year 2023-2024) / El grado del estudianate para 2023-2024)
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Required
Parents or Guardian Email / Correo electrónico de Pariente o Tutores
*
Your answer
Current home address /
dirección
actual
*
Your answer
Notes or Comments / Notas o Comentarios
Your answer
Add to waitlist if the class is full? Añádeme a la lista de espera si la clase está llena?
Yes
No
We would like to visit the School Campus? Nos gustaría visitar el Campus de la Escuela? (If possible)
Yes
No
Maybe
If you have any questions regarding your application feel free to contact us
via email at
admin@phlearning.org
or by telephone at
801-363-1892
.
(Pacific Heritage Academy Charter School - Kindergarten through 8th grade). Please visit
https://phlearning.org/registration/
for Registration via Aspire)
Si tiene alguna pregunta con respecto a su solicitud, no dude en comunicarse con nosotros por correo electrónico a
admin@phlearning.org
o por teléfono al 801-363-1892.
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Pacific Heritage Academy.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report