Registration

Please enable JavaScript in your browser to complete this form.

Parent/Guardian Full Name

First

Last

Relationship to Student

Parent/Guardian 2 Full Name

First

Last

Relationship 2 to Student

Parent E-mail Address

Confirm Email

Name to Name

Student Full Name

First

Last

Student Date of Birth

Student's Permanent Address

Street Address City, State, Zip code

Grade Applying For

Gender

Emergency Contacts

Please list at least 2 contacts

Medical History

anything important we need to know to aid in your child's educational journey

Student's Academic Background

List student's school history

If you need to upload any of the following documents, please check the boxes next to the applicable items.

How did you hear about us

Why enroll at Innovatech High School