Enroll In Our Community

We're excited to have you join our community! Please complete the form below.

2025-26 Enrollment Form

We’re so glad you’re here! Hedge School is a self-directed, inclusive learning community for 6th through 12th graders who thrive in environments that honor empowerment, respect, and authentic connection.

Please complete the form below so we can begin crafting the right learning path for your student.

Family Information

Parent/Guardian 1

First name

Last name

Please use your primary email address where we can send important school information.

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

What talents, skills, interests, and/or strengths are you willing to share with our cooperative community?

Parent/Guardian 2

First Name

Last Name

Please use your primary email address where we can send important school information.

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

What talents, skills, interests, and/or strengths are you willing to share with our cooperative community?

Emergency Contact Information

Emergency Contact 1

First Name

Last Name

Relationship to Student

Phone

Emergency Contact 2

First Name

Last Name

Relationship to Student

Phone

Authorized Pick-up Information

Please list those individuals approved to pick up your student, if you're unable.

Authorized Pick-up 1

First Name

Last Name

Relationship to Student

Authorized Pick-up 2

First Name

Last Name

Relationship to Student

Student Information

Student

Student First Name

Student's Preferred Name

Student Last Name

Preferred Pronouns

We ask for pronouns to ensure respectful communication. Sharing is optional.

Please use your student's primary email address where we can send important school information.

Multi-line address

Country/Region

Address

City

Zip / Postal code

Student Birthday

Month

Day

Year

Please describe your student's current areas of interest.

How does your student learn best?

What are your student's strengths?

What challenges does your student experience?

Please add any additional information that you believe will be helpful to your student's success at our school.

Program Selection

Course Offerings (Select all that you wish to enroll in.)

Humanities English-M/W AM

Humanities Social Science-M/W PM

Math-T/TH AM

Science-T/TH PM

Enrollment Period

2025-26 School Year

2025 Fall Semester

2026 Spring Semester

Student Health Information

Are your student's immunizations up to date?

Yes

If "No", please provide an explanation.

Does your student have any known health concerns?

Yes

If "Yes", please provide an explanation or upload documentation.

File upload

Does your student have any special needs or a family service plan?

Yes

If "Yes", please provide an explanation or upload documentation.

File upload

Please list any prior serious injuries:

Please list any known allergies for your student

Does your student take any over the counter medication on a regular basis?

Yes

If "Yes", please list any that need to be taken during their time on campus.

You acknowledge that any medications required for your student will be labeled with your student's name and kept with Dr. Flynn.

Does your student take any prescription medication on a regular basis?

Yes

If "Yes", please list any that need to be taken during their time on campus.

You acknowledge that any prescription medication required for your student during campus hours will be provided in it's original container and have an accompanying note of authorization provided by you for Dr. Flynn.

Does your student have any speech, hearing, or visual issues?

Yes

If "Yes", please list any concerns we need to be aware of.

Please provide any medical/health information or special need we should be aware of to serve your student.

Medication and Emergency Care Authorization

In the event of a medical emergency, I authorize the school to seek appropriate emergency medical treatment, including transport by ambulance and treatment by licensed medical professionals. I understand that every reasonable effort will be made to contact me immediately.

I accept responsibility for any medical costs incurred and will ensure that the school has current emergency contact and medical insurance information on file.

I authorize the staff of Hedge School Cooperative to provide routine first aid and administer the following over-the-counter medications to my child, as needed, in accordance with the dosage instructions provided on the product packaging. I understand that all efforts will be made to contact me before any medication is administered unless immediate care is required.

Please check the medications you allow the staff to administer:

Signature

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Transportation Authorization

I authorize Hedge School Cooperative staff and designated parent volunteers to provide transportation for my child to and from school-sponsored activities, field trips, and other events approved by the school.

I understand that all drivers will be vetted and insured, and that every reasonable safety precaution will be taken. I release Hedge School Cooperative and its representatives from liability in the event of injury or accident during authorized transportation, except in cases of gross negligence.

Signature

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Water Play Authorization

From time to time, Hedge School Cooperative may include supervised water play activities such as visits to water recreational parks, pools, creeks, rivers or oceans.

Please indicate your preference regarding your child’s participation:

Please indicate your choice

I authorize my student to participate in all water/swimming activities offered.

I DO NOT authorize my student to participate in any water/swimming activities offered.

Signature

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Photo and Video Authorization

Hedge School Cooperative may occasionally take photographs or videos of students during classes, events, and field trips for educational and community purposes. Please select your level of consent:

Single choice

Full Consent-I allow my student's image and/or voice to be photographed or recorded and used in both internal and external communications and platforms.

Partial Consent-I allow my student's image and/or voice to be used internally only, but not in any public or promotional materials or platforms.

No Consent-I DO NOT give permission for any photos or videos of my childe to be taken or used.

Signature

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Acknowledgments

By signing below, I affirm that the information provided in this enrollment form is accurate and complete to the best of my knowledge. I understand that submitting false or incomplete information may affect my child’s eligibility for participation in Hedge School Cooperative programs.

I also acknowledge that my electronic signatures provided throughout this form and below is legally binding and will be treated the same as a handwritten signature.

Signature

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Date

Month

Day

Year