Interest Form

Enrollment Type:
New – Interest
Planned curriculum (list): *

Previous Association:

Father/Guardian Info Name:

Education Level:

Mother/Guardian Info Name:

Education Level:

Address:

Primary Phone:*
Secondary Phone:

Email:*
Confirm Email:*

School District:*

Number of Students to Enroll:

If special needs indicated, please describe:

I understand this is only an interest list and not a membership application.

I agree that our family meets SC state statute minimums (diploma/GED requirement, record‑keeping, core subjects, etc.)

Parent/Guardian Signature:*