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Admissions » Enroll

Student Enrollment

Fill out the form below to begin your enrollment process.

(480) 294-0193

Mailing Address:
13771 N Fountain Hills Blvd #114 – 610
Fountain Hills, AZ 85268

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Date Form Was Submitted

MM slash DD slash YYYY

Which school year do you wish to enroll your student in?(Required)

Current School year

Next School Year

Desired Start Date(Required)

Primary Parent/Guardian Information

Name(Required)

Primary Parent/Guardian's Name

First Last

Email(Required)

Cell Phone(Required)

Work Phone

Home Address(Required)

Primary Parent/Guardian's Address

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Occupation and Employer(Required)

Please list your occupation and work information.

How did you find out about The Inspiration Academy?(Required)

Would you like to add information for another parent/guardian?(Required)

No

Yes

Secondary Parent/Guardian Information

Name(Required)

Secondary Parent/Guardian Name

First Last

Email(Required)

Cell Phone(Required)

Work Phone

Home Address(Required)

Secondary Parent/Guardian's Address

Street Address Address Line 2 City State ZIP Code

Secondary Parent/Guardian Occupation and Employer(Required)

Please list your occupation and work information.

Student Information

If you have more than one child enrolling, please fill out a separate form for each child.

Student's Name(Required)

First Last

Student’s Preferred Name or Nickname

Student’s Cell Phone Number

Gender(Required)

Male

Female

Birthdate(Required)

MM slash DD slash YYYY

Student's Grade Level(Required)

Enter student’s grade level for the current or upcoming school year

Student’s Current or Previous School Name(Required)

What type of school was it?(Required)

Public School

Charter School

Private School

Homeschool

Does your child have any special needs?(Required)

No

Yes

Please list your child’s special needs(Required)

Does your child have an IEP, MET, 504, or disability?(Required)

No

Yes

Please explain(Required)

Does your child have any behavior issues?(Required)

No

Yes

Please explain(Required)

Does your child have any allergies?(Required)

No

Yes

Please list their allergies(Required)

Does your child have any fears or anxieties that we need to be aware of?(Required)

No

Yes

Please list them(Required)

Please briefly describe your child’s personality(Required)

What do you feel are your student’s academic strengths?(Required)

What subjects do you feel your student needs to work on most?(Required)

What social or developmental goals would you like for us to add to the personalized learning plan for your child?(Required)

Emergency Contact Information

Please list 2 emergency contacts. These contacts will also be added to the list of people authorized to pick up your child.

Emergency Contact #1

Name(Required)

(first emergency contact)

First Last

Relationship to Child(Required)

Cell Phone(Required)

Work Phone

Emergency Contact #2

Name(Required)

(second emergency contact)

First Last

Relationship to Child(Required)

Cell Phone(Required)

Work Phone

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TIA brings the heart of education to Fountain Hills, Arizona through a K-12 private school.

(480) 294-0193

lisa@theinspirationacademy.org

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