Student Name
Mothers Name
Father's Name
Address
Email
What program(s) are you interested in?
Select Your Lab(s)
Lab participation is required for all Nativa Alliance Community High School students. Students must select two (2) labs as part of their educational program. Adult Education students may select one (1) lab based on their interests, career goals, or area of study.
Consent, Acknowledgment
By submitting this registration form, I confirm that the information provided is accurate to the best of my knowledge. I understand that participation in Nativa Alliance Community High School programs, educational labs, adult education, job readiness, and career development programs may have specific participation requirements. I understand that completing this form is a request for enrollment or participation and does not, by itself, guarantee acceptance into a particular program, course, lab, or service. For participants under the age of 18, this form must be completed and/or authorized by a parent or legal guardian.
Date / Time
By typing your full legal name below, you certify that the information provided is true and accurate and that you agree to the Consent & Acknowledgment above. Your typed name serves as your electronic signature.
By typing your full legal name below, you certify that the information provided is true and accurate and that you agree to the Consent & Acknowledgment above. Your typed name serves as your electronic signature.