Enrollment Form

If you are 17 years old or younger you must have your parent or legal guardian complete the enrollment form with you.

Please fill out the enrollment form to the best of your abilities.
Note: * means the field is required

Student Information

First Name *

M.I.

Last Name *

Student Email *

Date of Birth (mm/dd/yyyy) *

Grade Enrolling in *

Student is a Minnesota Resident

Yes, the Student is a resident of the state of Minnesota.

Address

Suite/Appt

County

City

State

Zip Code

Need help finding a county, a state abbreviation. or a zip code?

Home Phone

Mobile Phone

Electronic Signature

By completing the following information, I agree the signature below will be the electronic representation of my signature for all purposes and will have the same legally binding effect as signing my signature using pen and paper.

Full Name of Signing Parent/Guardian *

Signature of Parent or Legal Guardian: I am verifying that I, , am the legal parent or guardian of and I am granting permission for to enroll as a student of the BlueSky Online School, District #4082.

Signature of Student Over the Age of 17: I am verifying that I am 18 years of age or older.

Electronic signature. Enter the initials of the Parent/Guardian or student over the age of 17.

Initials (FML - First Middle Last) * July 30, 2010