Teacher’s PETS Virtual Academy Enrollment and Registration Please enable JavaScript in your browser to complete this form.How many students do you want to enroll? Selected Value: 0 Student's Name *FirstLastGradeIs student on medication? *NoYesIf yes, please listStudent's Name FirstLastGrade Is student on medication? NoYesIf yes, please list Student's Name FirstLastGrade Is student on medication? NoYesIf yes, please list AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email address (es) *Student's academic strengths and weaknesses *Parent's InformationMother or Guardian's Name *FirstLastAddress Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone Numbers (home and work) *Email *Father or Guardian's Name *FirstLastAddress (if same leave blank)Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone Numbers (home and work) *Email *Emergency Contact *FirstLastEmergency Contact FirstLastPhone Number (s) *T-shirt size for student *Youth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeT-shirt size for studentYouth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeT-shirt size for studentYouth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeFood AllergiesPlease upload report cards and/or transcripts * Click or drag files to this area to upload. You can upload up to 6 files. Captcha * = EmailSubmit