Email address *
The Chain Exploration Center Inc. does not discriminate on the basis of a student's sex, race, religion, color, national origin, ancestry, creed, pregnancy, marital or parental status, sexual orientation, physical, mental, emotional or learning disability/ handicap.
Student's Full Name *
Student's Date of Birth (MM/DD/YYYY) *
Gender *
What grade will student be entering in Fall 2021 *
List any siblings of this student who are already attending the CEC *
List any siblings who are also applying to CEC and were not yet attending in 2020-21
Parent/Guardian Name
Full Address
Phone Number *
Do you reside in the School District of Waupaca? *
Does this student have an Individualized Educational Plan for special education services? *
What school is your child currently attending? *
Choosing the CEC is a choice for a particular approach to education. What has led you to seek project based learning methods for your child? *
By checking this box, you are acknowledging the unique features of the CEC and that your involvement will be encouraged throughout the year. *
A copy of your responses will be emailed to the address you provided.
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