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 – 610Fountain Hills, AZ 85268 HiddenDate 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 InformationName(Required)Primary Parent/Guardian's Name First Last Email(Required) Cell Phone(Required)Work PhoneHome Address(Required)Primary Parent/Guardian's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 InformationName(Required)Secondary Parent/Guardian Name First Last Email(Required) Cell Phone(Required)Work PhoneHome Address(Required)Secondary Parent/Guardian's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Secondary Parent/Guardian Occupation and Employer(Required)Please list your occupation and work information. Student InformationIf 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 NumberGender(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 InformationPlease list 2 emergency contacts. These contacts will also be added to the list of people authorized to pick up your child.Emergency Contact #1Name(Required)(first emergency contact) First Last Relationship to Child(Required) Cell Phone(Required)Work PhoneEmergency Contact #2Name(Required)(second emergency contact) First Last Relationship to Child(Required) Cell Phone(Required)Work PhoneCAPTCHA