Apply

Apply for the 2023-2024 School Year

Students must be registered with the county as home educated. Parents are required to provide a notice of intent, maintain an annual portfolio, and provide an annual evaluation to their Florida county.

Registration Form 2023-2024

Student Information

First

Last

Birthday

Gender

Male

Female

Please list any allergies

Address

Address Line 1

Address Line 2

City

State

Zip

Country

Schedule and Grade Information

Grade

Parent Information

First

Last

Preferred Email

Cell Phone

Work Phone

First

Last

Preferred Email

Cell Phone

Work Phone

Emergency Information

Emergency Contact

Emergency Contact Number

Doctor’s Name

Doctor’s Phone Number

Insurance Co.

Insurance ID #

Who CAN pick up the child?

Who CAN NOT pick up a child?

Anything else we should know?