Courses for Credit Program Enrollment for High Bluff Academy

Class Format*

In-person seats will be allocated on a first come basis.

On-line only
In-person daily
In-person 2-3 days a week (hybrid)

Term*

Please Select Term from the drop down menu below

Course Title*

If a student is remediating a D or F from another school, the course titles much match exactly. Please enter the course title as it is listed on the transcript.

Day and Time of class*

For TPHS students, please enter the class period. For summer school and all other classes, enter the days and time. If you are not sure, just indicate that with "Not sure".

Student Name (as appears on transcripts)*

First Last

Student's Date of Birth*

Year of Graduation*

Parent or Guardian Name*

First Last

Mailing Address*

Street Address City ZIP Code

Parent Cell*

Student Cell

Student's school to receive transcript*

Parent Email to receive progress reports*

Student email*

How did you hear about us?*

We would like to thank the person who referred you to HBA so please type their name below.

Emergency Contact Name (other than self)*

First Last

Emergency Contact Phone (other than self)*

Credits*

Who does the student live with?*

Both parents
Mother only
Father only

Authorization*

Please click here to read the full text of our Enrollment Agreement. Please acknowledge that you are aware of the following policies by checking all boxes below:

Photo Release*

From time to time we take pictures of class activities to post on our website or Facebook page. We would appreciate it if you would allow use to your child's image (no names) without prior consent.

I agree to allow my child to be photographed for promotional purposes on our website, Facebook page, or printed materials

Special Needs*

Please contact an administrator or the teacher prior to the first day of class to discuss any modifications, medications, or special instructions that may help us in working with your child.

Would you like to meet with the Director to discuss your child's academic needs or to develop an academic plan? This service is free for HBA clients. If yes, please call us at (858) 509-9101 to set up an appointment with our Director.

No thank you. Not at this time.
Yes, parent will call (858) 509-9101

Transcripts

Please upload your student's unofficial transcript to complete enrollment (An unofficial transcript can be found on your student's Aeries account). Transcripts will allow us to check for necessary prerequisites for the class for which you are enrolling.

Max. file size: 50 MB.

Is there any information you would like to share with us?

Reason for taking the course*

Please indicate whether the student is repeating this course to remediate a low or failing grade or is taking it for the first time.

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COURSES FOR CREDIT PROGRAM ENROLLMENT

(Universal) Enrollment Agreement for Courses for Credit