Enrollment Request Form
***This enrollment request form is for the 2020/2021 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.

All admitted families are required to attend an Enrollment Open House or take a tour of the 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 *
Your answer
PARENT Last Name *
Your answer
Primary Address (include street address, city, state, and zip code) *
Your answer
Primary Phone Number *
Your answer
STUDENT First Name *
Your answer
STUDENT Last Name *
Your answer
STUDENT Gender *
STUDENT Date of Birth *
MM
/
DD
/
YYYY
Does your child currently have an IEP or 504 plan? *
If you answered YES to the above question, please describe...
Your answer
ENTERING Grade Level for 2020/2021 *
Please list any behavioral challenges in detail. *
Your answer
How did you learn about Branch Line School? *
Your answer
Student Transportation *
Required
Lunch and Snacks *
Required
Thank you! Finally, please tell us why you are interested in Branch Line School: *
Your answer
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