Please enable JavaScript in your browser to complete this form.Please upload your student photo below. Your student must be in front of a solid color background. (You must fill out one of these forms for EACH student if you are enrolling multiple students) * Click or drag a file to this area to upload. Parent Legal Name *FirstLastParent Alias/Hebrew NameFirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Emergency Contact Name *FirstLastEmergency Phone *Email Address (Your welcome package will be sent to the email you submit below please make sure it is correct and you have full access to this email.) *Student's Birth Name (Remember, you must fill out one of these forms for EACH student if you are enrolling multiple students) *FirstLastStudent's Preferred Name *FirstLastStudent's age *Last level of education completed (If none type "None") *The parent/legal guardian is required to submit a parental consent form if someone other than the parent/legal guardian will be supervising the student while in class. Has this form been submitted? *YesNo, I am the parent/legal guardian and I will be supervising my student while in classNoIf "No" Please click HERE to submit a parental consent form then continue filling out this form. Do you have a child already enrolled in Yahweh Virtual University and paying full price? *YesNoIf "Yes", Please provide your student's name and ID card number below. When you receive your welcome package you may be eligible to purchase the family discount tuition package. (Be sure to read the requirements for the family discount tuition package so that your students online access remains active) If you do NOT have a child already enrolled in Yahweh Virtual University please type N/A. *If the student is 6 years of age or older and has attended public school, a letter of intent to homeschool must be mailed to the superintendent of your student’s school district. The rules for properly homeschooling your child may vary depending on what state you live in Please click HERE to get more info about homeschooling in your state. Has the letter of intent been sent to your student’s school district? (If your child has NEVER attended public school you do NOT need to complete the letter of intent form.) *YesNo, my child has never attended public schoolNoIf "No" Please click HERE to fill out the intent form and mail it to the superintendent of your student's school district. (This step must be completed within 30 days of enrollment) All parent/legal guardians are strongly advised to read the Parent/teacher Handbook after enrolling their student. This book is $20.00 and will help you enormously with your homeschool journey. This book will be available for purchase once you receive your welcome package. *Yes, I will purchase and read the parent/teacher handbookNo, I will not purchase and read the parent/teacher handbookHas your child been diagnosed as having special needs? If yes, please explain below. All information shared with Yahweh Virtual University staff members will be kept confidential.Please provide any additional information that is important for us to know concerning yourself or your student.Your signature below is confirmation that you as a parent/legal guardian has or will comply with all of Yahweh Virtual University's requirements within a timely manner for your student to be successfully enrolled in Yahweh Virtual University. (Please sign your name below) *Submit