Application “You’re off to great places! Today is your day! Your mountain is waiting, So… Get on your way!” Please fill out a separate form for each child. Child's Name * First Name Last Name Enrollment Options * (select all that apply) Option I - Full Time Enrollment for Kindergarten - 8th Grade Option II - Full Time Enrollment for Kindergarten - 5th Grade (5 days) Option III - Part Time Co-op Enrollment for Kindergarten - 5th Grade Option IV - Weekly Co-op for Kindergarten- 5th Grade Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Current School and Grade * What are the first three words that come to mind when describing your child? * Please describe your child's greatest strengths (social, emotional, or academic)? * Is there any subject or activity your child is particularly passionate about? What are some of your family's favorite activites together? Please list any additional information relevant to your child's application? Please list any allergies or food restrictions My child has an epi-pen or medication that would need to be administered during school hours My child has anaphylactic allergies. My child was previously homeschooled My child may need an IEP, or some additional support in the classroom My child had an IEP at another school Email * Phone Number (###) ### #### Parent/Guardian's Relationship to Child * Electronic Signature of Parent/Guadian * First Name Last Name Thank you!
