STARBASE Homeschool Academy

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STARBASE Homeschool Academy - Great Falls, MT

This is to register and grant permission for your child/dependent to attend the STARBASE Homeschool Academy at the 120th Airlift Wing in Great Falls, MT.

AS OF 4/3/2024 THE ACADEMY IS FULL AND WE ARE WAITLISTING.

This is open to youth into grades 4th-8th.
Youth can attend one or both days on August 28 and 29, 2024 from 9am-2:30pm.

Youth should bring a water bottle, clothes suitable for outside activities, a midmorning snack, and a lunch.

Please fill out one form per youth.

Youth's Full Name *

Which day(s) will this youth be attending? *

Wednesday, August 28 (WAITLIST ONLY)

Thursday, August 29 (WAITLIST ONLY)

Both (WAITLIST ONLY)

Youth's Birthdate (MM/DD/YYYY) *

Youth's Age *

Youth's Sex *

Female

Male

Non-Binary

Other:

Youth's Grade Level as of Fall 2024 *

4th

5th

6th

7th

8th

Please select all that apply: *

English is the 2nd language for this youth

The youth's mother/father/guardian is on active duty, in the reserves, in the National Guard, or is a veteran of the US Military.

This youth is part of a low-income household

This youth has a physical or learning disability

None of these

Required

Youth's Ethnicity *

Hispanic/Latino

Non-Hispanic/Latino

Youth's Race *

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

More than one race

Parent/Guardian's Full Name *

Parent/Guardian's Phone Number

Write as 555-555-5555

Parent/Guardian's E-mail *

Street Address *

Mailing Address *

City *

State *

Zip Code *

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