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Enrollment Interest Form

Interested in enrolling? Fill out this form and we will contact you with more information on how you can enroll at one of our 17 school sites. Required fields marked with an asterisk *

Contact Information

First Name*

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Last Name*

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Email Address*

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Phone Number

Number Required

Are you a potential student looking to enroll or are you filling this out on behalf of someone else?*

Answer Required

I'm a potential student looking to enroll.

I'm a parent/guardian of a potential student looking to enroll.

I am a counselor/social worker/advocate of a potential student looking to enroll.

Other:

Age of student looking to enroll*

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Zip Code of student looking to enroll*

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What is your preferred method of communication?*

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Phone Call

Text

How did you hear about YouthBuild Charter School of California?*

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If you have any questions for us or want to provide any more details about yourself, you may include them below.

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