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Touchet Virtual Academy
Enrollment Year 2023-2024
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Student Email
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Student First Name
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Your answer
Student Middle Name
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Your answer
Student Last Name
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Your answer
Parent/Guardian First Name
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Your answer
Parent/Guardian Last Name
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Your answer
Parent Email
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Your answer
Home Address
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Student Phone
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Parent Home Phone
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Grade Level for the 2023-24 School Year
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Student's
Birthdate
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Student's Gender
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Has this student been enrolled in any special education programs (Served with an Individual Education Plan, IEP)
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Yes
No
Has this student had a 504
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Yes
No
Has this student been enrolled in ELL programs?
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Yes
No
I confirm the student is a permanent resident of WA State.
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Yes
No
I confirm the student is NOT on a foreign visa.
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