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.
* Required
Email address
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Your email
PARENT First Name
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Your answer
PARENT Last Name
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Your answer
Primary Address (include street address, city, state, and zip code)
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Your answer
Primary Phone Number
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Your answer
STUDENT First Name
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Your answer
STUDENT Last Name
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Your answer
STUDENT Gender
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Male
Female
STUDENT Date of Birth
*
MM
/
DD
/
YYYY
Does your child currently have an IEP or 504 plan?
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Yes - an IEP
Yes - a 504 Plan
No
If you answered YES to the above question, please describe...
Your answer
ENTERING Grade Level for 2021/2022
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please list any behavioral challenges in detail.
*
Your answer
How did you learn about Branch Line School?
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Your answer
Student Transportation
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I understand that bus service will NOT be provided and that I am responsible for transporting my child to and from school.
Required
Lunch and Snacks
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I understand that meals and snacks will not be provided and that I am responsible for ensuring that my child takes meals and snacks to school.
Required
Thank you! Finally, please tell us why you are interested in Branch Line School:
*
Your answer
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