Summer School
Enrollment Form

Name: ThrivePoint Academy
Address: 4744 W. Grovers Avenue, Glendale, AZ, 85308, US
Telephone: (602) 870-2000
Price range: $

Student Information
Name*
First Name Middle Name Last Name
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Date Of Birth*
MM slash DD slash YYYY
Current Age*
Current Grade*
Gender*
- Male
- Female
Ethnicity*
Proof of Residency*
Max. file size: 5 MB.
Valid Arizona Driver’s License / Arizona identification card or motor vehicle registration / Valid Arizona Address Confidentiality / Program authorization card / Real estate deed or mortgage documents / Property tax bill / Residential lease or rental agreement / Water, electric, gas, cable, or phone bill / Bank or credit card statement / W-2 wage statement / Payroll stub / Certificate of tribal enrollment (506 Form) or other identification issued by a recognized Indian tribe in Arizona / Documentation from a state, tribal or federal government agency (Social Security Administration, Veteran’s Administration, Arizona Department of Economic Security)
State/Country of Birth*
Contact Phone*
Summer School Sessions
Summer School Sessions*
- Summer Sessions 1: (June 7th to July 2nd)
- Summer Sessions 2: (July 12th to August 6th)
- Summer Sessions 3: (August 9th to September 3rd)
Counselor Information
Name of current school*
Counselor name:*
Classes needed (please specify whether 1st or 2nd semester is needed):*
Counselor phone
We understand that is our responsibility as the parent/student to verify with the current school that any summer school credits received from ThrivePoint High School will be accepted.
Student signature:*
Date*
MM slash DD slash YYYY
Parent/Guardian signature:*
Date*
MM slash DD slash YYYY
Consent*
By checking this Electronic Signature Acknowledgment box, I agree that my electronic signature is the legally binding equivalent to my handwritten signature.*
Parent/Guardian Information
Mother/Guardian's Information:
Name*
First Name Middle Name Last Name
Address*
Street Address City ZIP / Postal Code
Home Phone*
Cell Phone*
Place of Employment*
Work Phone*
Father/Guardian's Information
Name*
First Name Middle Name Last Name
Address*
Street Address City ZIP / Postal Code
Home Phone*
Cell Phone*
Place of Employment*
Work Phone*
Who is/are the student's legal guardian(s)?*
Who is the primary contact for the student?*
Once you click the submit button, one of our experienced enrollment specialists will contact you to complete the enrollment process. We provide a personalized one-on-one experience for each and every student to ensure they get the most out of their educational experience.

Disclosure: ThrivePoint High School is a non-sectarian, publicly-funded group of charter schools and does not discriminate in its enrollment or hiring practices on the basis of gender, race, religion, or ethnic origin, color or disability.

Summer School Enrollment Form

Student Information

Summer School Sessions

Counselor Information

Parent/Guardian Information

Summer School
Enrollment Form