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Interest Form

Please utilize this form for the 2019-2020 school year.

For additional enrollment information, please complete and submit the form below. This information will be passed on to a Personalized Learning Teacher (PLT) who will contact you to set up an appointment.

Please do not withdraw your child from their current school until you are actively enrolled in our program.

Parent or Guardian Contact Information:

Student Information:

Have you ever been enrolled with us in the past?
Answer Required
Is your child UC bound?
Answer Required
Confirmation Email