Outreach Event English Form - CCA

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Parent Information

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Academic Interest

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Let's Chat

Please share your interest in CCA.

Parent Information
Academic Interests
Let's Chat

Parent Information * Required Fields

First Name*

Last Name*

Email Address*

Phone Number

Zip Code*

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Academic Interest

Tell us why you are interested in a cyber school option.

My child is falling behind in coursework.My child is advanced in coursework.I would like to be more involved in my child's education.I would like there to be more of a focus on my child's future.I would like to have more flexibility in my family schedule.

What grade(s) will your children be entering next school year?

Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th

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Let's Chat

How can we help you learn more about CCA?

I would like to receive information by mail.I would like to receive a phone call.I would like to receive an email.

Street Address*

Address Line 2

City*

State*

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