Intent to Enroll

Siuslaw Valley Charter School will operate Whitmore Academy, a K-4th grade FREE public charter school opening in the fall of 2025. Our mission is to train the minds and improve the hearts of students through a classical, content-rich curriculum that emphasizes virtuous living, traditional learning, and civic responsibility. If you are a parent or guardian who intends to enroll your student(s) in Whitmore Academy's fall 2025 session, please let us know:

Parent First Name

Parent Last Name

Physical Address

Phone Number

Mailing Address

(other districts or state)

Name of student 1

Grade entering in fall of 2025

Date of Birth 1

Special Needs 1?

Name of student 2

Grade entering in fall of 2025

Date of Birth 2

Special Needs 2?

Name of student 3

Grade entering in fall of 2025

Date of Birth 3

Special Needs 3?

Name of student 4

Grade entering in fall of 2025

Date of Birth 4

Special Needs 4?

For more than 4 children, please fill out an additional Intent to Enroll form

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