Town You Currently Reside (and state if not Maine) *
Your answer
Child 1 - Name & Age (of child applying for enrollment) *
Your answer
Child 2- Name & Age (of child applying for enrollment)
Your answer
Child 3- Name & Age (of child applying for enrollment)
Your answer
Child 4- Name & Age (of child applying for enrollment)
Your answer
Have you read "Courage to Grow"? *
What draws you to the the Acton approach to education? *
Your answer
What are you hoping your child will gain from his/her experience at Acton Academy? *
Your answer
Rate your willingness to allow your child to take full ownership of his/her education. *
Does your child(ren) have a history of behavioral and/or learning challenges? *
If you answered "Yes" to the above, please elaborate.
Your answer
Does your child(ren) have, or have they had in the past, an IEP or 504 Plan? *
If you answered "Yes" above, please explain your child's needs and previous accommodations/modifications.
Your answer
Does your child(ren) have any medical concerns that we should be aware of? *
If you answered "Yes" to the above, please elaborate.
Your answer
Please provide the name and contact information (email is preferred) for your child's most recent teacher. Note: I will not contact the teacher until I have a signed consent form from you (linked here). Consent Form *