Rising High Homeschool Academy Application

Address *

Phone Number *

Area Code Phone Number
Mother's Cell Phone Number *

Area Code Phone Number
Father's Cell Phone Number *

Area Code Phone Number
E-mail *
Student Information
Full Name *

First Name Last Name
Date of Birth *

Month Day Year
Grade Level *
School Previously Attended and Grades *
Reasons for Attending A Home School Program
Can your child work independently?
Does your child have a learning disability or attention deficit? *
If 'Yes", please explain
Has applicant repeated a grade?
If yes, explain
These are extra classes that will be offered. Please place a check in the boxes beside the classes that might interest your child. Your child does not have to be enrolled in the homeschool program to participate in the special classes.
Tell Us About Your Child *
Upload Applicant's Transcript
Upload Recent Photograph of the Applicant
You can upload your child's transcript or mail a copy to the address below, along with the nonrefundable registration fee of $60.00 made payable to: Sondra Anderson, 4960 Hazelwood Drive, Alpharetta, GA 30004
Signature

Clear
Please expect notification of your child's acceptance to RH via phone call or US mail. Also mark your calendar for an information session on July 26th and a parent orientation meeting on August 9th.
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Registration Payment

Paid Not Paid
Transcript Submitted

Yes No
Signature

Yes No
Date and time of Submission

Month Day Year
at
Hour Minutes AM/PM Option Date Picker Icon
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