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2022-2023 Elementary School Application

We are delighted for the opportunity to share our Elementary School Program with you. Our courses have been thoughtfully prepared, to provide a family-centered, school supported education. Each course and unit study is designed to inspire and engage students in a rich academic adventure, taught in light of the restored gospel. Please complete the form below to apply for admission to Ensign Peak Academy's Elementary School Enrolled Student Program.

All elementary school (K-6) students who are members of the same family may be included on this single application.

Note that the Live Program is for Grades 4-6 only. The Self-Paced Program is for Grades K-6.

STUDENT AGREEMENTS

Please read the following agreements. Indicate agreement below.

Student Agreement 1: As student(s) of Ensign Peak Academy, I (we) understand and agree to the following participation conditions: Learn, explore, do activities, create things, try hard, have fun and follow the directions of my parents and mentors.

Student Agreement 2: To the best of my age and ability, I (we) understand and agree to the following student honor code agreement, which is to strive to follow "For the Strength of Youth" standards at all times and in all places, and strive not to engage in bullying behavior.

Parent Agreement: I agree that my student's name, voice, and image (e.g. video) may be recorded as part of the Ensign Peak Academy live clubs, meetings and events, and that by enrolling in the program, I grant Ensign Peak Academy a full, perpetual, world-wide, royalty-free, and irrevocable license to share these recordings with school staff and other students in our live program. Such recordings will not be shared in any other manner, with any other person or entity, except for the following: I grant Ensign Peak Academy permission to publish screenshots of live meetings in its yearbook. I also agree that, on other occasions, my student may be asked to submit video assignments that may include display of my student's name, voice, and/or video image. I grant Ensign Peak Academy a full, perpetual, world-wide, royalty-free, and irrevocable license to share these video assignments, including with other students. I agree that my student's mentors may respond to video assignments with video and audio feedback. I acknowledge that Ensign Peak Academy will showcase examples of good student work on its blog or other online channels, and I grant permission for Ensign Peak Academy to showcase my student's submissions on its website, yearbook or other online channels.

GRADE LEVELS

The following grade level dates are guidelines, not requirements. If a parent prefers a different grade level, please contact the program director to request approval prior to submitting this application. By 9/1/2022, K: Age 5, 1st: Age 6, 2nd: Age 7, 3rd: Age 8, 4th: Age 9, 5th: Age 10, 6th: Age 11

*Parent First Name:

*Parent Last Name:

*Parent Email Address:

*Parent's Mobile:

*Time Zone:

*Street Address or PO Box:

*Home City:

*Home State:

*Home ZIP/Postal Code:

*Home Country:

*Parent Agreement:

I agree

*Student Agreement 1:

I agree

*Student Agreement 2:

I agree

Any specific individual student needs?:

Student #1 Full Name:

Student #1 Date of Birth:

Student #1 Gender:

male
female

Select Program for Student #1:

Live Program
Self-Paced Program

Student #1 Grade Level:

Student #2 Full Name:

Student #2 Date of Birth:

Student #2 Gender:

male
female

Select Program for Student #2:

Live Program
Self-Paced Program

Student #2 Grade Level:

Student #3 Full Name:

Student #3 Date of Birth:

Student #3 Gender:

male
female

Select Program for Student #3:

Live Program
Self-Paced Program

Student #3 Grade Level:

Student #4 Full Name:

Student #4 Date of Birth:

Student #4 Gender:

male
female

Select Program for Student #4:

Live Program
Self-Paced Program

Student #4 Grade Level:

Student #5 Full Name:

Student #5 Date of Birth:

Student #5 Gender:

Male
Female

Select Program for Student #5:

Live Program
Self-Paced Program

Student #5 Grade Level:

Student #6 Full Name:

Student #6 Date of Birth:

Student #6 Gender:

Male
Female

Select Program for Student #6:

Live Program
Self-Paced Program

Student #6 Grade Level:

CHECK THE BOX FOR THE ELEMENTARY SCHOOL ROSTER

Please check all boxes that apply, for the program(s) you wish to use, which is a key function of this application and is used for enrollment and school communications.

Important note: Due to the technical configuration of this form, your application will not be submitted without checking the box(es).

Ensign Peak Academy Elementary School 2022-2023 Parents of Enrolled Live Program Students

Ensign Peak Academy Elementary School 2022-2023 Parents of Enrolled Self-Paced Program Students

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Educational and Compulsory Attendance Laws

Ensign Peak Academy is a Utah-based accredited private online school established to serve homeschooling families. All parents and students fully assume the responsibility of ensuring that their participation in Ensign Peak Academy will satisfy the educational and compulsory attendance laws of the locality, state, and/or nation in which they reside, and they agree to hold Ensign Peak Academy harmless if such requirements are not satisfied. There is no guaranty, express or implied, that the coursework provided by Ensign Peak will satisfy the graduation requirements of any particular state, or the entrance requirements of any particular college or university. Additionally, Ensign Peak Academy works hard to ensure the success of our students by providing quality materials, instructors, and learning environment for our students. However, these tools do not guarantee the success of a student, and these tools may be improved over time. Ultimately, the success of the students depends upon the students themselves, the amount of parental involvement, and other factors that are not within the control of Ensign Peak Academy. By submitting this application, parents and students agree to commit their best efforts to learning and achieving success, and accept full responsibility for their success as Ensign Peak Academy cannot warrant or guaranty success beyond what the parents and students are willing to work to achieve. By submitting this application, parents and students agree that they will not rely on any representations, warranties, or guaranties associated with Ensign Peak Academy other than those contained on the website, printed material, or this application in making their decision to apply for Ensign Peak Academy.

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