Harvest Ridge Cooperative Charter School Request for Admission 2023-2024
Thank you for your interest in our school!  Our Admission Application must be completed prior to enrollment or waiting list placement for both of our programs.  

HRCCS complies with all applicable state and federal laws in serving students with disabilities including but not limited to Section 504 of the Americans with Disabilities Act and the Individuals with Disabilities in Education Act.  The Charter School intends to function as a "public school of the local education agency (LEA) that granted the charter" for purposes of providing special education and related services pursuant to Education Code Section 47641 (b).
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Email *
Please indicate all programs you are interested in. *
Required
Student Legal Name (Last, First, Middle) *
Parent/Guardian Name(s) *
Student Date of Birth *
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Student Grade in 2023-2024 *
Student Gender *
Street Address *
City *
State *
Zip Code *
Mailing Address (if different)
Home/Cell Phone Number *
Email Address *
Siblings currently attending/applying at Harvest Ridge (please include name and grade) *
Is there Internet access in the home? *
Is your child designated an English Language Learner? *
If your child has a medical diagnosis that may impact learning or attendance, please identify below.
Has your child ever been suspended or expelled from school? *
If your child was suspended or expelled, please list when and where.
How did you hear about Harvest Ridge? *
I attest that the above statements are true to the best of my knowledge.  I understand that falsification of any of the information on this enrollment application may result in the student being disenrolled from the school.  I will access the Charter School Complaint form on the school website at www.harvestridgeschool.org if needed. *
Required
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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