ASPIRE Academy Interest Form
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Parent/Guardian Name (first and last) *
Parent/Guardian email address: *
Parent/Guardian Phone Number: *
Student(s) Name (First and Last) *
Student(s) Birthdate (mm/dd/yy) *
Current Enrollment Status *
Required
Current Grade level(s)  *
Required
Name of current school (if not homeschooling):
When would you like to enroll?
NOTE: High school students must enroll during the first two weeks of the current term.
 *
Required
How did you hear about ASPIRE Academy? *
Required
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