Form – Non-Public School Student Course/Activity Request

STUDENT INFORMATION

Birthdate(Required)

Age(Required)

Grade(Required)

REQUEST INFOMATION

Please only request ONE activity or course per form.

What Virtual Course are you requesting?(Required)

Date you would like to begin Virtual Course(Required)

What In Person Course are you requesting?(Required)

Which Elementary School are you wanting to take an In Person Course at?(Required)

Which Middle School are you wanting to take an In Person Course at?(Required)

Which High School/Career Center are you wanting to take an In Person Course at?(Required)

Date you would like to begin In Person Course(Required)

Which Sport are you wanting to participate in?(Required)

Which Elementary School are you wanting to participate in a sport at?(Required)

Which Middle School are you wanting to participate in a sport at?(Required)

Which High School/Career Center are you wanting to participate in a sport at?(Required)

Date you would like to begin participating?(Required)

Which Extracurricular Activity are you wanting to participate in?(Required)

Which Elementary School are you wanting to participate in an activity at?(Required)

Which Middle School are you wanting to participate in an activity at?(Required)

Which High School/Career Center are you wanting to participate in an activity at?(Required)

Date you would like to begin Extracurricular Activity(Required)

Remaining Balance of Hope Scholarship

Each request is 1/7 of the amount of the total Hope Scholarship
View the amount of the Hope Scholarship HERE
Total amount due prior to starting a course and/or an extracurricular activity

PARENT INFORMATION

Phone(Required)

Email(Required)

Parent Signature(Required)

Date(Required)

Assign Principal to be Notified(Required)

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Principal Email

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Athletic Director 1

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Athletic Director 2