Jordan Virtual Learning Academy 2022-2023 Intent to Attend Kings Peak HS, Kelsey Peak MS, or Rocky Peak ES
This form is for the 2022-2023 school year.

• If you have multiple students who would like to attend the virtual schools, please fill out the form once for each student separately.

• We will email pre-registration information when that process starts for the 2022-2023 school year.

• Filling out this form does not guarantee a spot at the virtual schools.

• If you have questions about the open enrollment process, please go here
https://planning.jordandistrict.org/enrollment/schoolchoice/
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Email *
Parent First Name *
Parent Last Name *
Home Address including City and Zip Code *
Best Email *
Best Phone Number *
Student First Name *
Student Last Name *
Current School *
School of Choice *
Student Current Grade *
Does your student have a current IEP? *
Does your student have a current 504 plan? *
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