Enrollment Application

A Christian classical school built around the whole person.

Family contact

Family name *

Primary email *

Primary phone *

Residency state *

Mailing address — street *

City *

State *

Zip *

Primary parent / guardian

First name *

Last name *

Relationship *

Mobile

Second parent / guardian (optional)

First name

Last name

Relationship

Mobile

Student

First name *

Middle name

Last name *

Preferred name

Date of birth *

Entry grade *

Gender *

Race / ethnicity

Current / previous school

Religious denomination

Notes for teachers (optional)

Anything our teachers should know to support your student?

Funding

How do you plan to fund tuition? *

If applicable, ESA / voucher account number

Optional — helps us prepare invoicing in advance.

Telemedicine (optional)

Vitae Health offers Christian-aligned telemedicine for Virtualis families through Dr. Dana Rodriguez, PhD, RN, PNP-BC. Sign-up is optional and creates a separate clinical relationship with Vitae Health, distinct from your school enrollment.

Are you interested in enrolling in Vitae Health telemedicine? *

Acknowledgments

I acknowledge that I will read and abide by the Virtualis Family Handbook upon receipt.

I grant Virtualis permission to use photos of my child in school publications, social media, and marketing. (You may decline by leaving this unchecked.)

I agree to receive school-related text messages from Virtualis at the phone number I provided above (acceptance confirmations, weekly attendance-form reminders, attendance alerts, school closures, payment reminders, and similar account notifications). Message frequency varies (typically up to 5 messages per month). Message and data rates may apply. Reply STOP at any time to opt out, or HELP for help. Opting out does not affect my school enrollment.

I certify that the information provided in this application is true and complete to the best of my knowledge.

Anything else we should know?

Virtualis · info@virtualis.school