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Virtual Learning Sign Up Form
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Indicates required field
Student Name
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First
Last
Student's Current Grade (if summer grade student will enter in Fall)
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Parent/Guardian Name
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First
Last
Relationship
*
Parent/Guardian Phone Number
*
Parent/Guardian Email (Please provide an email you check regularly)
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Is it ok to text this number?
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Yes
No
Possible Zoom Names (Please list all possible names that may appear when your child signs in to our Zoom class. Unrecognized names will be denied access for the safety of our students.)
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Please add additional Information Here if necessary.
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By typing my name below, I acknowledge that I am signing my child up for Virtual Learning Services with Achieve. I understand that Achieve Learning Center and their staff have taken all necessary precautions for online safety and absolve them of responsibility for any incident beyond their control. I agree to be contacted by Achieve to receive necessary information about my child's session(s).
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Home
Home School
Tutoring
Music Lessons
Camps
Parents
About
Contact
Calendar
Forms
Store
Employment