Spring Testing Registration Form for Homeschool and Private School Students

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Homeschool and Private School parents may use this form to register for spring testing at their Lake County Zoned school. You will be contacted by or on March 25 at the email address you list below with the date and time of test. Due to scheduling restrictions, students who do not show up for testing may not be rescheduled.

**DEADLINE TO REGISTER FOR SPRING TESTS IS FEBRUARY 18. DUE TO SCHEDULING CONSTRAINTS SCHOOLS WILL NOT BE ABLE TO ACCEPT LATE REGISTRATIONS.**

Student Last Name *

Student First Name *

Student Gender *

Male

Female

Student Date of Birth *

YYYY

Student Race: Check all that apply *

Hispanic or Latino

American Indian

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Required

What program is your student currently enrolled in? *

Homeschool

Private School

Student Grade Level *

Grade 3

Grade 4

Grade 5

Grade 6

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Phone Email Address *

Parent/Guardian Address *

What Lake County School is your child zoned for? *

What test would you like to sign your student up to take? *

FSA English Language Arts (Grades 3-8)

FSA Math (Grades 3-8)

Science (Grades 5 & 8)

Required

Does your student have an IEP or 504 with testing accommodations? *

Yes

If you answered yes above, what are the testing accommodations? If you answered no above, type N/A below. *

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