* Kindergarten applicants must be 5 by December 1, 2019


Enrollment Form
  1. 2019-2020 Student Enrollment Application

    Completion of this form demonstrates your desire to enroll your student at KIPP Tech Valley Charter Schools for the 2019-2020 School Year. Both the Primary and Middle schools are currently accepting applications for students entering Kindergarten, 1st, 2nd, 3rd, 5th and 6th grades. Space is limited, so enroll your child today! For Kindergarten, the student must turn 5 years old on or before 12/1/19.

  2. Student Information

  3. Student Name(*)
    Invalid Input
  4. Date of Birth(*)
    Invalid Input
  5. Gender(*)
    Invalid Input
  6. Grade student is entering in Fall of 2019(*)
    Invalid Input
  7. Current District(*)
    Invalid Input
  8. Current School(*)
    Invalid Input
  9. Parent/Guardian Information

  10. Parent/Guardian Name(*)
    Invalid Input
  11. Relationship to Student(*)
    Invalid Input
  12. Address(*)
    Invalid Input
  13. City, State, Zip(*)
    Invalid Input
  14. Home Phone(*)
    Invalid Input
  15. Alternate Phone
    Invalid Input
  16. E-Mail Address(*)
    Invalid Input
  17. Sibling Information

  18. Does your student have a sibling currently attending KIPP Tech Valley Primary or Middle Charter Schools? (*)
    Invalid Input
  19. If yes, please list them here. Please include their date of birth, grade, and gender.
    Invalid Input
  20. (*)
    Invalid Input
  21. Security Check(*)
    Security Check RefreshInvalid Input
  22. KIPP: TECH VALLEY shall not discriminate against or limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, gender, national origin, religion or ancestry. A school may not require any action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to that school.