New account

Username

Password

Email address

Email (again)

First name

Last name

City/town

Country

What is your relationship with student?

Your Primary Phone Number

Are you the biological parent for the student you are enrolling?

Legal Guardian highest level of education completed

Does this student have an Additional Legal Guardian?

If yes: The Additional Legal Guardian Name:

The Additional Legal Guardian relationship with student:

By checking this box, you agree to the Acknowledgement of Expectations and School Policies.

Certification: By checking this box and typing your full legal name below, you are verifying that you are the student's legal guardian. You are also certifying that all of the information contained on this Admissions Form is true and correct including, but not limited to, FERPA. You understand that completion of this Admissions Form does not guarantee your student's acceptance into the program. You also understand that, once submitted, you will not be able to edit this information later without speaking to an Enrollment Consultant.

Type your legal name here

Do we have your permission to move any documents you previously submitted for enrollment at a Hexa Online Academy, to the new application you are submitting for this student?

Required

New account

FAMILY INFORMATION: