Eschool Virtual Private Academy

1. How many students do you want to enroll?

How many students do you want to enroll?*

2. Parent/ Legal Guardian

This section should be completed by the parent/legal guardian acting as the primary point of contact for Eschool Virtual Private Academy.

Parent/Legal Guardian Name*

First Name

Parent/Legal Guardian Name*

Last Name

Parent/Legal Guardian Date of Birth*

Parent/Legal Guardian Gender*

Relationship to Student*

Parent/Legal Guardian Phone*

Parent/Legal Guardian Email*

Please list the legal residence at which the student resides.

Parent/Legal Guardian Household Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Form of Contact*

Text/ SMS

Phone Call

Is the parent/legal guardian a member of the active uniformed military services of the United States and on full time active-duty status or active-duty orders?*

Yes

Has this person, within the past 36 months, relocated with the intent to obtain seasonal or temporary employment in agriculture, fishing, and dairy of food processing work?*

Yes

4. Student Information

1 Student Information

Row ID	Student Name	Student Last Name	Student Date of Birth	Student Gender	2025-2026 Grade	Actions

There are no Students.

2 Students Information

Row ID	Student Name	Student Last Name	Student Date of Birth	Student Gender	2025-2026 Grade	Actions

There are no Students.

3 Students Information

Row ID	Student Name	Student Last Name	Student Date of Birth	Student Gender	2025-2026 Grade	Actions

There are no Students.

4 Students Information

Row ID	Student Name	Student Last Name	Student Date of Birth	Student Gender	2025-2026 Grade	Actions

There are no Students.

5 Students Information

Row ID	Student Name	Student Last Name	Student Date of Birth	Student Gender	2025-2026 Grade	Actions

There are no Students.

Eschool Virtual Private Academy

ESVPA Enrollment Form

1. How many students do you want to enroll?

2. Parent/ Legal Guardian

3. Emergency Contact

4. Student Information

5. Consent

Learn More!

Learn More!