Inquire About Barker Creek
Thank you for your interest in Barker Creek Community School. To start the process, please give us a little information about the prospective student. If you want to learn more about Barker Creek, please visit our website at http://barkercreek.ckschools.org.
Who is completing this information? *
Student's Name *
Your answer
Grade Level *
Date
MM
/
DD
/
YYYY
Parent/Guardian Information
Parent *
Your answer
Email
Your answer
Home Phone
Your answer
Alternate Phone
Your answer
Resident School District
Your answer
Street Address
Please give the numerical address and street name, ex. 9210 Silverdale Way
Your answer
City
Your answer
Zip Code
Your answer
Student Information
When was the student last in school?
Your answer
What school is the student currently attending or which school did he/she most recently attend?
Your answer
Has the student ever been homeschooled?
Does the student have an IEP? *
Does the student have a health plan?
When would you like to enroll?
Your Interest in Barker Creek
Which Barker Creek program(s) are you interested in? (check all that apply)
Please tell us a little about why you're considering Barker Creek Community School?
Your answer
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