ENROLL NOW! ONLINE SUBMISSION for 2019-2020 School Year We are accepting applications for rising 5th- 10th graders for the 2019-2020 school year. To apply, fill out an online application here: Enroll Full Student Name*SexMaleFemaleDOB*Grade Student will Enter in the 2019-2020 School Year.*5th6th7th8th9th10thCurrent School AttendedCurrent School Phone NumberPlease select one of the following. This information is required for state reporting.*Hispanic or LatinoNot Hispanic or LatinoPlease select all that apply.*American Indian or Alaska NativeAsianBlack or African-AmericanNative Hawaiian or Other Pacific IslanderWhiteFirst Name*Last Name*Relationship*MotherFatherLegal GuardianFoster ParentStreet Address*Apartment No.City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Phone (day)*Phone (night)Email (professional) Email (personal)* How did you hear about Intrepid College Prep?* Sibling attends Intrepid College Prep Schools Newsletter Word of Mouth Families Choose Intrepid Community Canvassing Information Session School Community Organization Specify SchoolSpecify Community OrganizationReferral 1: First Name, Last Name, Grade, Phone Number, EmailReferral 2: First Name, Last Name, Grade, Phone Number, EmailElectronic Signature.*Please type your first and last name in the signature field. This will serve as your electronic signature.