Inquiry and Open House registration

Thank you for your interest in HOPE Academy! We look forward to speaking with you further.

Please fill out the form below to sign up for an Open House or to request further information.

* Indicates a required field.

Parent / Guardian Information
Salutation *

First Name *

Last Name *
Email Address *
How Did You Hear About Us? *

Details:
Home Phone *

(Ex: 999-999-9999)
HOPE requires at least one parent from each prospective family to attend a tour or information session. Please choose from the list of possible visit dates below.

*

I have a general question / inquiry Thurs, Dec. 6 @ 9:30 Thurs, Jan. 24 @ 9:30 Thurs, Feb 28 @ 9:30 Thurs, Mar. 28 @ 9:30 Thurs, May 9 @ 9:30
What appeals to you most about HOPE Academy?

*
HOPE Academy has a limited capacity to serve students with special needs. Does your student have learning, social, emotional, or other challenges that may affect his/her learning and/or interaction with peers?

* Yes No
If you answered yes to the above question, please provide more information.
Do you have any specific questions or any additional information you would like for us to know?
Student 1
First Name *

Last Name *
Birthdate

(mm/dd/yyyy)

Gender *

Male Female
Grade Level of Interest *

School Year *
Current School
Is There Another Student? Yes No