The International Baccalaureate Programme at Tates Creek High School
Intent to Participate Agreement 2021-2022
Grades 9–12
Email address *
Complete Agreement by January 31, 2021
Student Last Name: *
Student First Name: *
Student Middle Initial:
Gender: *
Race/Ethnicity (optional):
Middle School Attended: *
Middle School Attended (if not listed above):
Anticipated High School Graduation Year: *
Current Grade: *
Address (Number, Street, Apt. Number): *
City and State *
Zip Code *
Is your address out-of- area for Tates Creek High School?
Clear selection
Parent/Guardian Last Name: *
Parent/Guardian First Name: *
Parent/Guardian Email: *
Parent/Guardian Phone Number: (XXX-XXX-XXXX) *
Parent/Guardian 2 Last Name:
Parent/Guardian 2 First Name:
Parent/Guardian 2 Email:
Parent/Guardian 2 Phone Number (XXX-XXX-XXXX):
Parent/Guardian 2 Address (optional):
Student Phone Number (optional):
By selecting yes we, the student and parent/guardian, are confirming we have been notified that out-of-area students are required to do the following: **Complete the FCPS Magnet School application found at ** Upon approved notification from FCPS students must complete enrollment requirements found at **Complete student schedule card in spring for upcoming fall semester. **Bring required enrollment documents to TCHS Registrar. ** Remain enrolled in the ACE Pre-Diploma and Full IB Diploma curriculum to maintain out of area status. *
Choose the IB status and section of the Intent to Participate Form that applies to you: *
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