WVA Re-Enrollment for the 2024 - 2025 Academic Year
Welcome to West Virginia Academy, we are thrilled your family will be continuing your journey with us next year. In order to get your scholars enroll, we ask that you fill out the form below. You will also be asked to pay the $35 per child experiential fee for the field trips, technology, and events that will take place in the 2024 - 2025 academic year. NOTE: if you do not fill out the form and pay the fee by April 1, 2024, we cannot guarantee you will get a spot for next year.
Scholar's Last Name
Scholar's First Name
Date of Birth
Primary Guardian's email address
Primary Guardian's Cell phone number
Primary Guardian's home phone number
Best way to contact you during the day.
Email
Phone
Text
Primary Guardian's Address (if it has changed)
Does the student reside with the above enrolling parent?
Yes
No
Other Guardian's Name
Other Guardian's Phone Number
Best way to contact them during the day.
Email
Phone
Text
Emergency Contact #1 Name, relationship to family, and phone number
Emergency Contact #2 Name, relationship to family, and phone number
Emergency Contact #3 Name, relationship to family, and phone number
Preferred Language
60
What is the student's race? (Select all that Apply)
American Indian or Alaskan Native
Asian (Far East, Southeast Asia, or India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands)
Black or African American
Native Hawaiian or Pacific Islander
Caucasian (Peoples or Europe, North Africa, or the Middle East)
The Federal Government requires that both these questions be answered and provides only the following categories for ethnic group and race:
No, Not Hispanic or Latino
Yes, Hispanic or Latino
Scholar's grade for the 2024 - 2025 Academic School Year
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
I understand that my child will be automatically enrolled in the sequential grade level, upon successfully meeting the promotion requirements specified in the WVA Parent Handbook.
I also understand that to complete enrollment, I am asked to pay $35 per student as an experience fee for the 2024-2025 WVA field trips, technology, and culminating events.
Does your child have any of the following?
Severe Allergies/Anaphylaxis
Asthma
Diabetes
None
If your child has any of the above conditions, please elaborate and let us know if they have medication that is prescribed to them.
Please mark if your child has any of the following:
Allergies
Blood Disorder
Cancer
Cystic Fibrosis
Dental/Oral Health Conditions
Ear, Nose, and Throat Conditions
Endocrine Disorder (other than Diabetes)
Food Intolerance
Food Dietary Preference
Gastrointestinal/stomach/bowel disorder
Hearing Conditions
Heart/Cardiovascular Disorder
Kidney/Urinary Tract Disorder
Headaches/Migraines
Lung Disease (other than Asthma)
Mobility Impairment
Muscle/Bone/Joint/Arthritis
Neurological Disorders (other than seizures)
Skin Condition
Vision Conditions
Other
None
If you selected other, please explain below:
Does your child have any of the following diagnosis that is being treated through medication and/or counseling?
ADHD/ADD
Anxiety
Depression
Eating Disorder
Other
None
If you selected other, please explain below:
Please list all medications your child will be receiving during school hours.
Please indicate what size PE shirt your child will need for the 2024 - 2025 academic year
4T
5T
Youth XS
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Other
If you marked "Other" please specify below:
Submit