Interest Form

Summit Leadership Academy High Desert

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Summit Leadership Academy with the school's eagle mascot logo.

Together we will rise with

Responsibility Integrity Safety Excellence

We are so happy that you are interested in Summit Leadership Academy and we can’t wait to meet you. Please complete the information below and one of our team members will reach out to you to answer any questions you have about our programs. Until then, please take a moment to look at our website and follow us on social media.

Contact Information

Parent's Full Name*

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Student's Full Name (List all if there are multiple students)*

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Alternate Contact's Full Name (optional)

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Email*

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Phone*

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Address

Street Address*

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City*

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Zip/Postal*

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In which school is your student currently enrolled? (List all that apply for multiple students)*

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In which grade is your student currently enrolled? (Mark all that apply for multiple students)*

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How did you first learn about Summit Leadership Academy?

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Word of Mouth

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Interest Form