• College Preparation Starts Now
  • (317) 632-2006, 317-662-3792 (fax)
  • October 17th, 2017
  • Enroll Now 2017-2018

    Kindergarten through Eighth grade for the 2017-2018 school year.

    Please call 632-2006 for more enrollment information.

    Spots are filling up fast so call today!

    Student Information

    Student's First Name: *
    Student's Middle Name:
    Student's Last Name: *
    Date of Birth: *
    Age:
    Gender:MaleFemale
    Expected Grade Level
    in Aug '17:
    K12345678
    Student Home Address:
    Present Grade Level:
    Present School:
    School District of Residence:


    Brothers and/or Sisters Applying to Vision Academy

    1st Sibling:
    2nd Sibling:
    3rd Sibling:

    Family Information

    First Parent/Guardian:
    Second Parent/Guardian:



    Information submitted in this application is factual and true to the best of my knowledge. No information with regard to the profile of the applicant has been knowingly omitted or submitted incorrectly. I understand that any information found to be misleading for the purpose of admission to the Vision Academy may result in the application being denied. This includes accurate information relative to a grade level placement or retention.

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    Name of Parent/Gaurdian: *
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    Vision Academy Riverside, 2017. All rights reserved.