Online Academy Registration

Online Academy Registration

Online Academy at North Hills Registration Form
Please complete the Online Academy at North Hills registration form below. After your submission has been reviewed, you will be contacted in order to schedule a curriculum customization meeting.

Student Name
Student Email (if available)
Parent/Guardian Name
Parent Email
Phone
Address (Please include City, State, Zip)
Student's Grade Level
Student's Current School
Will the primary location where the student will be conducting their online studies have reliable access to broadband internet services via a home wireless network?
By digitally signing this form (by typing your name in the space below), I understand that online learning through the Online Academy at North Hills consists of a rigorous and relevant curriculum and that students must practice good time management skills in order to be successful.
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

captcha math problem
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