2019-2020 Registration Application
We encourage you to print out the current schedule or have it open in another window while filling this out. For parents of 4th-6th grade students, especially, this may help make the course selection clearer.
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Email *
Clear selection
Student's Last Name *
Student's first name *
Grade in Fall of 2019-20 *
Gender *
Student email
Mother's name (first and last) *
Mother's primary phone number *
Father's name (first and last)
Father's primary phone number
Alternate phone number for parents
Email(s) to receive Ecclesia communications *
Emergency Contact (Name, relationship, phone) *
What is your school of record *
Do you intend to pay for classes with charter fees (Please also specify, later in the form, when choosing each class whether you will be using charter funds to pay) *
Math/Period 1 -  Tu/Th 9-10 *
Required
Social Studies/Period 2 (Tu/Th 10-11) *
Required
Language Arts/Period 3 (Tu/Th 11-12) *
Required
P.E. Option Semester 1 (Tues 12:30-1:30) *
Electives Semester 2 (Tues 12:30-1:30) *
Required
Chapel or P.E.  (Thurs 12:30-1:30) *
Science (Tu/Thurs 1:30-2:30) *
Athletics - Off campus, paid directly to the vendor, parents provide transportation. (Wed 9:30-11) *
Foreign Language (Mon. 11-12) *
Electives #1 Semester 1 (Mon. 12:30-1:30) *
Electives #1 Semester 2 (Mon. 12:30-1:30) *
Electives #2 Semester 1 (Mon. 1:30 - 2:30) *
Electives #2 Semester 2 (Mon. 1:30 - 2:30) *
Required
NEW!! Drama (Monday 9-11am) Semester 2
For what classes do you plan to pay with charter funds? (check all that apply) *
Required
I have read an understood the Registration Terms of Agreement *
Required
Signed: *
Is there anything else you would like us to know?
If you are a new family or your mailing address has changed since last year, please include it here.
A copy of your responses will be emailed to the address you provided.
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