Central York Cyber Academy Information Request Form

* Required

Parent/Guardian Name*required

First Name

Last Name

Student's Name*required

First Name

Last Name

Phone Number

Email Address

What is your preferred contact method?

Phone

Email

Either

What is the best time to reach you?

Morning

Afternoon

Either

What grade is your child currently in?

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12

Which Central York school does your child currently attend?

Central York High School

Central York Middle School

North Hills Elementary School

Sinking Springs Elementary School

Hayshire Elementary School

Roundtown Elementary School

Stony Brook Elementary School

Other

What made you interested in the Central York Cyber Program?

Do you have any questions about the program we can help answer?

Submit