Clarksville Charter - 2024/2025 Waitlist

2024/2025 Waitlist

Clarksville Charter School
The Open Enrollment Period for the 2024/2025 school year has ended.

Families who are interested in enrolling in Clarksville Charter School should complete one form per household and include new students only. Completion of this form does not guarantee your spot in Clarksville Charter School.

After submitting this form, you should receive an automatic email with a copy of your submission. If you do not receive this email notification, please check your spam or junk folders.

As space becomes available, families will receive an Offer of Enrollment. Parents/Guardians will have three days to confirm the offer via email. Per California State Law, a waitlist does not carry over at the end of the school year.
Parent / Guardian Information
Name*

First NameLast Name
E-mail*

Confirmation Emailexample@example.com
Primary Phone*
County of Residence*
We will verify this later via your Proof of Residence document.
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Alternate Contact Full Name*
We will only reach out if we cannot reach you through the primary email & phone.
Relationship to Student*
Alternate Contact Phone*
Teacher Request*
Teacher Full Name*
Qualifying Preference Category*
Sibling District ID*
The District ID is listed at the top of the Parent Portal next to the student's name in parentheses. EX: John Smith (12345)
Staff Email*
Please enter your school email. Non-school emails like @gmail.com will be rejected.
How many NEW students do you want to enroll?*
DO NOT count students who are currently enrolled for the 2024-25 school year.
Student 1: Information

Please only enter information for NEW students.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
If your selected Date of Birth is not available in the form, it indicates your student is too young to enroll into TK.
Grade in School (2024-2025)*
Student 2: Information

Please only enter information for NEW students.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
If your selected Date of Birth is not available in the form, it indicates your student is too young to enroll into TK.
Grade in School (2024-2025)*
Student 3: Information

Please only enter information for NEW students.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
If your selected Date of Birth is not available in the form, it indicates your student is too young to enroll into TK.
Grade in School (2024-2025)*
Student 4: Information

Please only enter information for NEW students.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
If your selected Date of Birth is not available in the form, it indicates your student is too young to enroll into TK.
Grade in School (2024-2025)*
Student 5: Information

Please only enter information for NEW students.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
If your selected Date of Birth is not available in the form, it indicates your student is too young to enroll into TK.
Grade in School (2024-2025)*
Student 6: Information

Please only enter information for NEW students.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
If your selected Date of Birth is not available in the form, it indicates your student is too young to enroll into TK.
Grade in School (2024-2025)*
Terms and Conditions
Today's Date*

MonthDayYear
Date
Checking 'I Agree' and signing below, you declare under penalty of perjury under the laws of California that you are the Parent or Guardian of the above student(s). By submitting an application, you agree to the storage of their personal details, in Clarksville Charter School's administrative systems, whether on paper, computer, or any other medium, and to the usage of that information for Clarksville Charter School's purposes only. Ed Code § 47605(e)(4) Charter School Notice and Form
I Agree
Signature*
Should be Empty:

2024/2025 Waitlist

Parent / Guardian Information

Student 1: Information

Student 2: Information

Student 3: Information

Student 4: Information

Student 5: Information

Student 6: Information

Terms and Conditions