Vineland Public Charter School

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Initial Registration Form

Name of Student (Last Name, First Name, Middle Name) *

Address (Street, City, State, Zip): *

What school year do you want to enroll your child? *

Current (2023-2024)

Next school year (2024-2025)

What grade is your child currently? *

Pre-K 3

Pre-K 4

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Other:

Gender: *

Female

Male

Date of Birth *

* Pre-K 3 students must be October 1, 2020 or earlier * Pre-K 4 students must be October 1, 2019 or earlier * Kindergarten students must be October 1, 2018 or earlier

YYYY

Name of Person Registering *

Relationship to Student *

Home Phone #: *

Cell Phone #: *

Email Address: *

How did you hear about our school? *

Instagram

Facebook

Paper flyer

Someone you know has children who currently attend VPCS or is an employee

Internet search

Other:

Were you referred by a current family of a VPCS student? *

Yes

If yes to the previous question, what is their name?

Does your child have siblings currently at Vineland Public Charter School? *

Yes

If yes to the previous question, what is/are their name(s) *

What is the name of the current school district your child attends? *

Did you home school this student during the previous school year: *

Yes

Did this student attend private school during the previous school year: *

Yes

If applicable, name of private school:

If applicable, address of private school

Submit

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