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Application
Online Admissions
FACT Financial AiD
Admissions
Info. Request
Form
Thank you for considering Back Of The Class Productions for your teen's alternative education route!
Please complete and submit the form below and our Admissions Rep will contact you to provide further assistance concerning your request.
*
Indicated
Fields
Are Required
Parent/Guardian Info.
Mother's Full Name:
Last Name
First Name
Email
Cell Phone Ex. (555-555-5555)
Work Phone Ex. (555-555-5555)
Father's Full Name:
Last Name
First Name
Email
Cell Phone Ex. (555-555-5555)
Work Phone Ex. (555-555-5555)
Home & Mailing Address:
Home Address
Apt./Unit #
City
State
Zip
Mailing Address If Different Than The Above:
Mailing Address
P.O. Box
City
State
Zip
Teen's Info.
Last Name
D.O.B Ex. 05/05/5555
First Name
Gender
Email
Current Grade Level: 5-12
Current School Year:2023/2024
Name of Current School
Does Your Teen Have A Diagnosed Learning Difference?
Please List Additional Teens Ages 11-18 in your household that will also apply.
Teen 2.
Teen 4.
Teen 3.
Teen 5.
How Did You Hear About US?
Why Are You Considering BOTCP As Your Teen's Alternative Education Route?
Submit
Thanks for your
inquiry
. Our Admissions Rep will contact you soon.
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