Intent to enroll | Epic California Academy

Parent/Guardian Information:

Parent/Guardian Name *

Email *

Primary Phone Number *

County of Residence *

Zip Code *

Relationship to Student *

Do you currently have a student enrolled at Epic?

Yes

No

Student Information

How many students are you intending to enroll? *

1

2

3

Student 1:

Student Name *

Date of Birth *

Current Age *

Grade Student Will Be in 2025-26 School Year *

Student 2:

Student Name *

Date of Birth *

Current Age *

Grade Student Will Be in 2025-26 School Year *

Student 3:

Student Name *

Date of Birth *

Current Age *

Grade Student Will Be in 2025-26 School Year *

Referral Source

Tell us more *

If referral is another parent, student, or Epic teacher/staff, please list FIRST and LAST name. If referral is from a business or organization, please list the name of the business/organization. If referral is from social media or internet search, please list service you found Epic with (ie. Facebook, Google, etc.). If other, please tell us how you found Epic.

Captcha *

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