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Manheim Central Online Learning Intent Form
Please complete this survey ONLY if you intend to enroll your child in the Manheim Central Virtual Academy at the Elementary or Middle School Level.
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* Indicates required question
Your Name
*
Your answer
Child's Name
*
Your answer
School Your Child Would Attend:
*
Baron Elementary
Doe Run Elementary
Manheim Central Middle School
I would like my child to be fully enrolled for the 2021-2022 school year in the Manheim Central Online Academy.
*
Yes
My child will be in which grade:
*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Required
Any other questions?
*
Your answer
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