2021-22 New-Student Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This information is needed to complete your student's new enrollment at CVA for the school year 2021-22. All students enrolling at Cyber Village Academy must be residents of the state of Minnesota.

Please fill out this form (one per student) and press the SUBMIT button at the end to ensure that CVA receives this information.

Email *

Important Note!

In order for CVA to receive all the information, please press the SUBMIT button at the very end of this registration form.

Last Name *

Student's legal last name as listed in official documents

First Name *

Student's legal first name as listed in official documents

Middle Name

Student's middle name as listed in official documents

Student's Preferred Name

Date of Birth *

(MM/DD/YYYY) - Student's date of birth as listed in official documents

YYYY

Gender *

Student's gender at birth/on official documents (Male=M, Female=F)

Gender - Other

(If chosen gender-expression is not listed above)

Student's Preferred Pronouns:

Home Phone *

Best number to reach parent/guardian during school hours (xxx-xxx-xxxx)

Clear form

Never submit passwords through Google Forms.

This form was created inside of Cyber Village Academy. Report Abuse

Forms