Enrollment Request Form
***This enrollment request form is for the 2021/2022 school year.***

Completion of this form is the first step in the enrollment process.

Branch Line School's elementary and middle school charter program is a non-profit, tuition-free public school.

Any family residing in the State of Michigan may request enrollment for their child(ren) in Branch Line School.

Branch Line School does not discriminate on the basis of race, color, gender, or ethnic origin in its educational and admissions policies.

Email address *
PARENT First Name *
PARENT Last Name *
Primary Address (include street address, city, state, and zip code) *
Primary Phone Number *
STUDENT First Name *
STUDENT Last Name *
STUDENT Gender *
STUDENT Date of Birth *
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DD
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Does your child currently have an IEP or 504 plan? *
If you answered YES to the above question, please describe...
ENTERING Grade Level for 2021/2022 *
Please list any behavioral challenges in detail. *
How did you learn about Branch Line School? *
Student Transportation *
Required
Lunch and Snacks *
Required
Thank you! Finally, please tell us why you are interested in Branch Line School: *
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