Enrollment Request
Please complete the following Enrollment Request and we will contact you!

Kalmiopsis Community Arts High School (KCA) is a free public charter school open to all Oregon students. Grades 9, 10, and 11 are available during the 2023-2024 school year, and grades 9, 10, 11, and 12 during the 2024-2025 school year and beyond.

Students will be automatically enrolled if seats are available, and otherwise wait on the list. Questions or curiosities? Email us! office@kcahs.org. Call us! 541-630-4522.
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Email *
During which school year do you plan to enroll?
Clear selection
Act I: Who are you?
The basics.
Student's First name(s)
 *
Middle name(s)
Last name(s)
 *
Nickname/preferred name
Birthday *
Gender Identification: female / male / nonbinary / other (please describe):
Preferred Pronoun(s)
What is your current grade?
 *
What school do you currently attend?
Do you live within the geographic boundaries of Three Rivers School District? (you *can* enroll at KCA if you live outside Three Rivers School District boundaries)
 *
What is your mailing address? (If you are experiencing homelessness, provide a mailing address if one is available; if not, please write "n/a".)
 *
Act II: Who are your people?
Details about the  people who can legally make decisions for you. If you are 18 or older, you can decide whether to provide your own contact information.
Person #1: Full name
 *
Person #1: Can you legally make decisions for your student?
 *
Person #1: Phone number
 *
Person #1: Do you receive texts at this number?
 *
Person #1: What is your email address?
 *
Person #1: Do you check your email daily? (Please note: We use email for most of our non-emergency communication with students and their people. If you checked "no" or "yes, but..." then never fear, we'll figure out a solution).
*
Person #2 (if applicable): Full name
Person #2: Can you legally make decisions for your student?
Clear selection
Person #2: Phone number
Person #2: Do you receive texts at this number?
Clear selection
Person #2: What is your email address?
Person #2: Do you check your email daily? (Please note: We use email for most of our non-emergency communication with students and their people. If you check "no" or "yes, but..." then never fear, we'll figure out a solution).
Clear selection
If there are more than two people involved in the education of the student, please provide their name(s), phone number(s), and email(s) below:
Act III: Identify yourselves, please! 
Students can choose to self-report whether they belong to any of the following categories of historically underserved students:

(1) Low-income (eligible for Oregon Trail, TANF, WIC, or Oregon Health Plan; or live below the poverty line; or qualify for the USDA free or reduced lunch program)
(2) Mental or physical disability
(3) Limited English Proficiency
(4) Historically oppressed race or ethnicity
(5) Historically oppressed sex, gender identity, or sexual orientation

*Why ask for this information? We want to keep a true account of the kids who come to KCA. These categories do a terrible job of telling us who *you* are, but they give a sense of your background. 

If you so choose, please check the categories that apply:
Anything else that you want to share about your teen (or you, if you're the student completing this application)?
Curtain Call: We have reached the end!
Thank you for requesting enrollment at KCA. A copy of your responses will be automatically emailed, and you can return here to update your answers anytime.

Your next step is ... to wait! Expect a phone call or email from one of our Teacher Leaders (Kaci, Ryan, Melissa, or Elishua) to schedule a time to meet in person and receive the complete registration packet.

A copy of your responses will be emailed to the address you provided.
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