EPIC Academy

Information Request Form

*Student's First Name: *Student's Last Name: *Parent's First Name: *Parent's Last Name *Mailing Address: *Physical Address (If different from mailing address.): *City: *State: *Phone Number: Email: *What Grade Will Student Be Entering 2010-2011: What District is your child currently attending? Other Information, Comments, or Suggestions:

Important Reminders and Verification

Only parents/legal guardians are authorized to register a student for enrollment. (If you are a student who is an emancipated minor or over the age of 18, contact the Enrollment team via email at epicacademy@gmail.com)

By clilcking the submit button below you understand that this is only a Pre-Enrollment and Information Request Form. The enrollment package will be sent to you in the mail after January 1, 2010. (EPIC Academy will not be open for enrollment until after January 1, 2010. The first year that EPIC Academy will be able to serve students will be the 2010-2011 academic year.)

Where Education Is The Adventure!

Information Request Form

Important Reminders and Verification

Welcome

Paypal Donation Button

Google+ Web Search

Fan Page on Facebook!

Super Share