Application & VIRTUAL Visit Day Registration (1) Application & VIRTUAL Visit Day Registration (1) APPLICATION & VIRTUAL VISIT DAY REGISTRATIONWe are excited to welcome your child for a virtual visit. Details about connecting with our community via zoom will be forwarded upon completion of this registration form. A microphone and camera are preferred, although a camera is not necessary.Program Interested inFull time in personFull time virtualPart-time in personPart-time VirtualHybridNot sureChild’s NameAgeDate of Birth Parent E-Mail Parents/GuardiansAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneCell PhoneChild’s previous school experienceWhat do you consider to be your child’s strengths and challenges?What is your main reason for considering the Birch School as an educational alternative for your child?What would you like your student to gain from attending Birch?BIRCH SCHOOL Application/ Trial ENROLLMENT AGREEMENT: I understand that part of the Learning Center experience involves activities, group arrangements and interactions, both in-person and online, that may be new to my child. These things come with certain risks and uncertainties beyond what my child may be used to dealing with at home. I am aware of these risks and I am assuming them on behalf of my child. I realize that no environment is risk free and so I have instructed my child on the importance of abiding by the school’s rules. My child and I both agree that he or she is familiar or will become familiar with these rules and will obey them. I do hereby grant the right to use my or my child’s photograph or image with or without my or my child’s name both single and in conjunction with other persons or objects for any and all purposes including, but not limited to private or public presentations, advertising, publicity, and promotion relating thereto I agree to monitor my student's online behavior and discuss with them Internet Safety and Security Signature parent/guardianDate Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.