Reserving a Spot for your Future Student

Parents have been asking for a waitlist to reserve a spot for their child in future academic years. Please use the application below to apply to add your child to our waitlist.

Please keep in mind that a spot on the waitlist does not guarantee entry to the program as students will need to re-interview during the anticipated starting year. Parents will also need to apply for financial aid during the year the student will be starting at Academy.

Applicant Name

First Name

Last Name

Applicant Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Applicant Email

Applicant Phone

(###)

###

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Grade Level Fall 2023

Starting Year at Peak Potential Academy

During which academic year will your child enroll in and attend Peak Potential Academy?

Parent/Guardian 1 Name

First Name

Last Name

Parent/Guardian 1 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian 1 Email

Parent/Guardian 1 Phone

(###)

###

####

Parent/Guardian 2 Name

First Name

Last Name

Parent/Guardian 2 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

(###)

###

####

Siblings

Name, grade and what is their plan of study 2021-22?

Has the applicant ever received disciplinary action at school?

Applicant Details

What is your student's learning style, strengths and weaknesses.

What would you like us to know about your child?

Do you have questions for us?

Learning Accommodations

Does the student have an IEP? If yes, please describe briefly.