VPCS Intent to Enroll Form 2020-2021
VISION PREP IS CURRENTLY ACCEPTING INTENT TO ENROLL FORMS FOR GRADES K-5.
PLEASE COMPLETE THE ONLINE FORM BELOW

Note: THIS FORM IS FOR NEW FAMILIES ONLY—NOT FOR RETURNING VP FAMILIES.
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Student Information
Student First Name *
Student Last Name *
Gender *
Birthdate *
MM
/
DD
/
YYYY
What grade will your student be entering in the 2020-2021 school year? *
Does the student currently receive special education services under an Individualized Education Plan (IEP) or 504 plan? *
Family Information
Parent/Guardian 1 First Name *
Parent/Guardian 1 Last Name *
Relationship to Student *
Street Number *
Street Name *
Apt #
City *
State *
Zip Code *
Cell Phone *
(xxx) xxx-xxxx
Home Phone
(xxx) xxx-xxxx
Work Phone
(xxx) xxx-xxxx
E-mail *
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Relationship to Student
Street Number
Street Name
Apt #
City
State
Zip Code
Cell Phone
(xxx) xxx-xxxx
Home Phone
(xxx) xxx-xxxx
Work Phone
(xxx) xxx-xxxx
Email
Sibling Information
Please provide the following information about the applicant's siblings. Please remember that each child will need to submit a separate application for enrollment.
Sibling 1 Name
Sibling 1 Age
Sibling 2 Name
Sibling 2 Age
Sibling 3 Name
Sibling 3 Age
How did you hear about Vision Preparatory Charter School? *
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