2023-24 Home-schooling Sign-Up Form

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Email *

Student's First name *

Student's Last name *

Date of Birth *

YYYY

Does your child have allergies or any special needs? *

Yes

Emergency contact *

How long has your child been home-schooled? *

Child's Zoned school *

Please briefly describe your child's educational needs. *

What grade level is your child in? *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Row 1

Has your child ever been left back? *

Yes

If yes what Grade

Does your child have any learning disabilities? *

Does your child have an IEP?

What subject is most challenging for your child?

What are your child's interests and hobbies?

How do you discipline you child?

Describe your child's work ethic:

Child's Shirt size

XXL

Clear selection

Child's email *

(High school students) Has your child passed any state test or AP classes ? (Ie, New York Regents) *

Yes

If yes , which test

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