Which school year are you applying for? *

We are at capacity for 2024-2025 but are still accepting applications in case a mid-year opening becomes available. Check both boxes if you are interested in your child starting at Activate this year and next.

2024-2025

2025-2026

Parent #1 Name *

First Name

Last Name

Parent #1 Phone

(###)

###

####

Parent #2 Name

First Name

Last Name

Parent #2 Phone

(###)

###

####

Child's Name *

First Name

Last Name

Child's Birthdate *

MM

DD

YYYY

Rate your child's reading skills. *

below average

average

above average

not sure

Rate your child's writing skills. *

below average

average

above average

not sure

Rate your child's math skills. *

below average

average

above average

not sure