2022-2023 Waiting List- Enrollment Interest Form

Granite Mountain Charter School Waiting List - Enrollment Interest Form 2022-2023

Please only submit one form per household. This form is only to join our waiting list. Our open enrollment window ended on April 1st, 2022.
Parent/Guardian Information
Name

First NameLast Name
E-mail
example@example.com
Primary Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
County of Residence
We will verify this later via your Proof of Residence document.
Emergency Contact (If Parent/Guardian cannot be reached)
Relationship to Student
Emergency Phone

Area CodePhone Number
Teacher Request
Teacher Name
Do you have an enrolled sibling or are you an active staff member at Granite Mountain?
Student Information (#1)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Add Student 2?
Student Information (#2)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Add Student 3?
Student Information (#3)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Add Student 4?
Student Information (#4)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Add Student 5?
Student Information (#5)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Add Student 6?
Student Information (#6)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Add Student 7?
Student Information (#7)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Add Student 8?
Student Information (#8)
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade in School 2022-23
Terms and Conditions
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
You certify that the information given above is true and correct to the best of your knowledge.

Pursuant to Education Code (EC) Section 47605(d)(4), charter schools are not allowed to discourage a pupil from enrolling or seeking to enroll in a charter school because the pupil exhibits any characteristics such as students with disabilities, academically low-achieving, English learners, neglected or delinquent, homeless, socially economically disadvantaged, foster youth, or based on nationality, race, ethnicity, or sexual orientation.

Also pursuant to this new law, a parent, guardian, or student who is 18 years or older may file a Charter School Complaint Form to the Charter School's authorizing entity if they suspect the charter school is in violation of Education Code (EC) Section 47605(d)(4).

If you would like to file a complaint, click on the link below to access the form:

Complaint Notice Form
Do you agree?
Signature
Should be Empty:

Granite Mountain Charter School Waiting List - Enrollment Interest Form 2022-2023

Parent/Guardian Information

Student Information (#1)

Student Information (#2)

Student Information (#3)

Student Information (#4)

Student Information (#5)

Student Information (#6)

Student Information (#7)

Student Information (#8)

Terms and Conditions