Register - biblit

Name(Required)

First Last

School Name(Required)

Grade(Required)

Birth Date(Required)

Gender(Required)

Male

Female

Other / Prefer not to answer

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Is English a Second Language for this student?(Required)

Does student have an Individual Education Plan (IEP) issued by the school's Exceptional Education Dept?(Required)

Does your student's school have your permission to share IEP information with Village Virtual, if applicable?

Parent Name(Required)

First Last

Parent Cell Phone(Required)

Parent Home Phone(Required)

Parent Email(Required)

Requested Course(Required)

Type of Course(s)

New Learning

Credit Recovery

Both

Semester for Enrollment(Required)

Fall 2021

Spring 2022

Please indicate the semester in which you desire to enroll.

School Approval(Required)

School approval is needed for registration of all students except homeschoolers. In this box, please give the contact information for the person at your school who will grant approval of the course. This could be a school counselor or principal. Please include contact information such as an email or phone number. School approval guarantees that the course will be accepted for credit from the student's school and reflected on the student's transcript. Homeschool parents may simply enter their name in this field.

On what device will you primarily be accessing your course?

Will this student be seeking NCAA eligibility?

Yes

How did you hear about us?

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Registration