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FREMONT ADVANCE HSE

is NOT

accepting registrations

at this time.

REGISTER FOR ADVANCE HSE HERE
For more information or help enrolling contact: fremontadvancehse@gmail.com
You will be contacted after your form has been submitted

Student Full Legal FIRST, MIDDLE and LAST Name as stated on birth certificate.*

Date of Birth*

Month

Day

Year

Gender, as listed on birth certificate*

Is student Hispanic/Latino Origin?*

Choose each box that applies to your student.*

White

American Indian or Alaskan Native

Native Hawaiian or other Pacific Islander

Black or African American

Asian

Has the student ever been registered in a CO public school program?*

Is the student registered with the State as a Homeschool student?*

Will you be homeschooling your child this year?

School District of Residence *

Have you notified the District of Student's withdrawal?*

What grade will student enter in Fall of 2024?*

What educational setting is your child coming from?*

Colorado Public School

Homeschooling

Private School

School located in a different state

New to educational system - Kindergarten only

#1 Parent/Guardian Full First, Middle and Last Name *

#1 Parent Phone Number*

#1 Parent Email*

#2 Parent/Guardian Full First, Middle and Last Name

#2 Parent Phone Number

#2 Parent Email

Does either parent currently serve in US Military? (Active Duty or National Guard)*

Yes

Is Student Homeless?*

Student Address*

Use tab to navigate through the menu items.

Contact: Graceann Pittner, Program Director fremontadvancehse@gmail.com

170 Creekview Lane, Penrose CO 81240

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