Chillicothe Digital Academy Enrollment, 2021-2022

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

We are excited to share our Chillicothe Digital Academy Enrollment Form for the 2021-2022 school year!

The Chillicothe Digital Academy exists to promote academic success and overall wellness of our individual students K-12, utilizing creative and unique online and hybrid educational models. We have made and are making some great improvements to our online learning for the 2021-2022 school year, and we are looking forward to the new school year with you!

This form will be used to indicate your enrollment in the Chillicothe Digital Academy for the 2021-2022 school year. Upon completion of this form, you will be contacted regarding next steps for the online enrollment process.

Thank you again, and GO CAVS!

*Please complete one form per student.
*Please only complete if you are interested in the Chillicothe Digital Academy.

Email *

Parent/Guardian Name Last Name *

Parent/Guardian First Name *

Student Last Name *

Student First Name *

Student Grade Level (2021-2022 school year) *

Parent/Guardian Phone Number *

Parent/Guardian Address *

Parent/Guardian Email Address *

Is your student already enrolled in Chillicothe City Schools? *

Yes, s/he is already enrolled.

No, we need to enroll for the 2021-2022 school year.

Does your student receive special education services (ie, IEP or 504)? *

Yes

What is the primary language spoken in your home? *

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Chillicothe City School District. Report Abuse

Forms