Online Schooling Registration

Parent's / Guardian Contact Information
Parent or Guardian Name*
First Middle Last
Title*
Occupation*
Parent's Email*
Enter Email Confirm Email
Phone Number*
How did you hear about the Bayaan Academy? (If referred, please mention name of the person referring)*
Please explain why you feel that online learning would be a good fit for your child.*
With limited seats for enrollment for each grade, we want make sure that Bayaan Academy is a good fit for you and your family.

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Student Contact Information
Student's Name*
First Middle Last
Student Email Address ( If any )
Phone*
Date Of Birth*
Date Format: DD dash MM dash YYYY
Current Grade Level*
Does the student have any special needs or learning disabilities?*
Describe any areas in which your student may need additional support.*
Please respond accurately so teachers and administration can provide additional supports as needed.
Permanent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Former School Information
Current or Former School Name*
School Phone Number*
Years Attended*

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