Free School Course Registration Form

Please complete this form to register for the upcoming school term’s courses.
Student Information
Student’s Name
Student ID (if applicable)
Grade Level
Date of Birth
Parent/Guardian Information
Name
Phone Number
Home Address
Preferred Contact Method
Phone
Email
Text
Course Selection
Please select the courses your student would like to enroll in for the term. Check prerequisites and consult the course catalog for details.
Core Subjects
English Language Arts
Mathematics
Science
Social Studies
Electives
Art
Music
Physical Education
Computer Science
Course Level (if applicable)
Standard
Honors
Advanced Placement (AP)
Schedule Preference
Select any preferences for class timing or format if applicable.
Morning Classes Only
Afternoon Classes Only
Flexible Scheduling
In-Person
Online/Virtual
Hybrid
Academic Support Services
Please select any additional services your student may need for academic success.
Tutoring
Special Education
English Language Support
Counseling Services
Emergency Contact
Name
Relation to Student
Phone Number
Additional Information
Please provide any other relevant information regarding course selection, scheduling needs, or support services for your student:
Parent/Guardian Signature
By signing below, I confirm that the information provided is accurate and that I have reviewed the course selections and requirements with my student.
Name:
Date:
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