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Apply Now

Thank you for your interest in The Green Room Learning Community in Anchorage, Alaska! This is a partnership between you, the "principal" parent or guardian of your own child's education, your student, and us-- those who help facilitate the educational development of your student. Please fill out the form below to give you the information we need to determine if this is a good fit for all involved. 

Registration Form

The Green Room has limited space available, so register now to save your spot for Fall 2025!

Student's Date of Birth
Month
Day
Year
Student's Grade Level
I am interested in registering for:
Monday - Thursday (4 day program)
Monday/Wednesday (2 day program)
A-La-Carte Class(es)
Tuesdays and Thursdays
Other
Campus Choice
Are you interested in direct billing through your charter/correspondence school?
Yes
No
Would you like your name and contact info placed on a carpool list for other parents to access?
Yes
No
May we use photos of your student for marketing purposes?
Yes
No
What is your student's reading level?
Does your student have a device able to be used in the classroom?
Yes, laptop.
Yes, iPad.
Yes, smart phone.
No
Other
Do you agree to hold harmless the instructors at the Green Room and the church campus for accidental injury, illness, or death that may occur while on campus?
I agree.
I do not agree.
Application Fee
$25

This application fee is required and nonrefundable to complete the registration process.

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