Please provide the following information for your student.
If you are enrolling more than one student there is a place to add additional students at the end of this form.
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Gender *
Primary Phone Number *
nnn-nnn-nnnn
Your answer
Grade Level *
Choose
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Eudora Schools Virtual Learning provides flexibility outside the classroom and traditional schedules, but with a full range of course options and learning support for students in grades 6-12. Please indicate below which learning preference you have for your student if in grades 6-12. *
Choose
Eudora Middle School or Eudora High School
Eudora Schools Virtual Learning
District of Residence *
If the district of residency is not Eudoraschools, D0491, there is an application process that will need to be followed and an application fee paid before the student can complete enrollment.
Street Address *
Your answer
City *
Your answer
State *
Choose
KS
Zip *
Your answer
Has your student ever attended Eudora Schools? *
What school district did your student last attend? *
Your answer
Please list any additional students who will be attending Eudoraschools and their grade level. Please fill out a form for each student.
Your answer
Submit
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