Family Information

We’re glad to be a part of your family’s educational journey! Please fill out the form below so we may start the enrollment process.

Please fill out one form for each child you are registering.

Child's Name(required)

Child's School of Attendance(required)

Does Your Child Receive Any of These School Services?

English Language Development

Special Education

Gifted & Talented (GATE)

Social / Emotional Supports

1st Parent / Guardian's / Ed. Right's Holder's Name(required)

1st Parent / Guardian's / Ed. Right's Holder's Phone Number(required)

1st Parent / Guardian's / Ed. Right's Holder's Email(required)

1st Parent / Guardian's / Ed. Right's Holder's Address(required)

2nd Parent's Name

2nd Parent's Phone Number

2nd Parent's Email

2nd Parent's address (if different)

Emergency Contact's Name(required)

Emergency Contact's Phone Number(required)

May The Emergency Contact Pick Up Your Child?(required)

Yes

N/A (virtual services only)

Please describe any heath needs that your child has (including allergies)

IES will use the information you provide here only to provide our services. We will never sell your information. The information you provide here is for class enrollment, not for our online payment system.

Family Information

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