Admission – Pikes Peak School of Expeditionary Learning

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Step 1 of 2 - Parent / Guardian

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Parent / Guardian*
First Last
Mobile Phone*
Work Phone
Email Address*
Enter Email Confirm Email
How many students would you like to enroll at Pikes Peak School of Expeditionary Learning?*

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Student Information
What school year should this enrollment begin?*
Student Name*
First Last
Student's Birth Date:*
Student Gender*
- Male
- Female
Student's Grade Level*
Tell us the grade your student will start in
Student's Current School
May we contact the current school, if applicable?
- Yes
- No
Does this child require support in any of the following areas?*
Select at least 1
- Individualized Education Plan (IEP)
- Individualized Learning Plan (ILP)
- Accommodations Under 504 Plan
- No Such Support Needed
- Other Support Needed (Please Specify Below)
Anything else we should know about?
2nd Student Information
What school year should this enrollment begin?*
Student Name*
First Last
Student's Birth Date:*
Student Gender*
- Male
- Female
Student's Grade Level*
Tell us the grade your student will start in
Student's Current School
Let us know if your student is already attending classes somewhere
May we contact the current school, if applicable?
- Yes
- No
Does this child require support in any of the following areas?*
Select at least 1
- Individualized Education Plan (IEP)
- Individualized Learning Plan (ILP)
- Accommodations Under 504 Plan
- No Such Support Needed
- Other Support Needed (Please Specify Below)
Anything else we should know about?
3rd Student Information
What school year should this enrollment begin?*
Student Name*
First Last
Student's Birth Date:*
Student Gender*
- Male
- Female
Student's Grade Level*
Tell us the grade your student will start in
Student's Current School
Let us know if your student is already attending classes somewhere
Does this child require support in any of the following areas?*
Select at least 1
- Individualized Education Plan (IEP)
- Individualized Learning Plan (ILP)
- Accommodations Under 504 Plan
- No Such Support Needed
- Other Support Needed (Please Specify Below)
Anything else we should know about?
4th Student Information
What school year should this enrollment begin?*
Student Name*
First Last
Student's Birth Date:*
Student Gender*
- Male
- Female
Student's Grade Level*
Tell us the grade your student will start in
Student's Current School
Let us know if your student is already attending classes somewhere
Does this child require support in any of the following areas?*
Select at least 1
- Individualized Education Plan (IEP)
- Individualized Learning Plan (ILP)
- Accommodations Under 504 Plan
- No Such Support Needed
- Other Support Needed (Please Specify Below)
Anything else we should know about?
5th Student Information
What school year should this enrollment begin?*
Student Name*
First Last
Student's Birth Date:*
Student Gender*
- Male
- Female
Student's Grade Level*
Tell us the grade your student will start in
Student's Current School
Let us know if your student is already attending classes somewhere
Does this child require support in any of the following areas?*
Select at least 1
- Individualized Education Plan (IEP)
- Individualized Learning Plan (ILP)
- Accommodations Under 504 Plan
- No Such Support Needed
- Other Support Needed (Please Specify Below)
Anything else we should know about?
6th Student Information
What school year should this enrollment begin?*
Student Name*
First Last
Student's Birth Date:*
Student Gender*
- Male
- Female
Student's Grade Level*
Tell us the grade your student will start in
Student's Current School
Let us know if your student is already attending classes somewhere
Does this child require support in any of the following areas?*
Select at least 1
- Individualized Education Plan (IEP)
- Individualized Learning Plan (ILP)
- Accommodations Under 504 Plan
- No Such Support Needed
- Other Support Needed (Please Specify Below)
Anything else we should know about?