Full-Time Enrollment for 2010-11

Register your intent to enroll with iQ Academy

NOTE that by filling out this form you are not applying to iQ Academy Wisconsin, but are simply registering your interest. Please complete the short form below before applying for enrollment.

Please submit an online, notify-me form for each student intending to attend iQ Academy. If you are under the age of 13, please contact us at 1-866-468-6472 or info [at] iqacademywi [dot] com.

Student Information

Student First Name: *

Student Last Name: *

Student Email: *

In what grade are you interested?: *

Parent Information

Parent First Name: *

Parent Last Name: *

Parent Address: *

Parent City: *

Parent State: *

Parent Postal/Zip: *

Parent Phone: *

Parent Secondary Phone:

Parent Email: *

How did you hear about us: *