Ascend Semester Enrollment Form

Ascend Semester 2024

January 8th - May 1st

I am a...(Required)

Is your student under 18?(Required)

Are you under 18?(Required)

What is your (student's) high school status?(Required)

Parent Name(Required)

First Last

Parent Email(Required)

Student's Name(Required)

First Last

Student's Email(Required)

Student's Phone(Required)

Student's Mailing Address(Required)

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

Student's Date of Birth(Required)

Student's Gender(Required)

Student's Shirt Size(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact's Phone(Required)

Health Concerns & Allergies(Required)

Which subjects would you enjoy focusing on if possible?(Required)

Mathematics

Science

Language/English

History

Other

Which other subjects would you be interested in focusing on?(Required)

Do you have any specific professional goals you would like us to keep in mind?(Required)

Please select the Academic Coach you are scheduled with.(Required)

By submitting this form you recognize that you have read and understood the Unbound Guarantee.

Unbound Guarantee(Required)

I have read and understand the Unbound Guarantee