Student Enrollment Application

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PINNACLE CHARTER SCHOOL Student Enrollment Application — 2026–2027 School Year To apply for admission to Pinnacle Charter School, please complete all required fields (marked *) and submit. You will receive an email acknowledgment within 3 business days confirming receipt. Thank you for your interest in attending Pinnacle Charter School. Application Status *

New Applicant Previous Applicant

SECTION 1 — STUDENT INFORMATION Student Full Name *

Date of Birth * Current School * MM/DD/YYYY

Grade as of August 2026 *

8th 9th (Freshman) 10th (Sophomore) 11th (Junior) 12th (Senior)

Note: Seniors may apply for our first year but will only be accepted if there are unfilled slots after all 8th–11th grade applicants have been accepted.

Address *

City / Town * Zipcode *

State *

New Hampshire Vermont

Note: Vermont students will be accepted only after all New Hampshire applicants have been accepted and there are unfilled slots remaining.

Your Email * Phone

Does student have siblings? *

Yes No

Is a sibling currently enrolled at Pinnacle? *

Yes No

Is a sibling also an applicant this year? *

Yes No

SECTION 2 — PARENT / GUARDIAN 1 INFORMATION Parent/Guardian 1 — Full Name *

Relationship to Student *

Parent/Guardian 1 — Email * Parent/Guardian 1 — Phone * SECTION 3 — PARENT / GUARDIAN 2 INFORMATION (if applicable) Parent/Guardian 2 — Full Name

Relationship to Student

Parent/Guardian 2 — Email Parent/Guardian 2 — Phone

SECTION 4 — HOUSEHOLD LANGUAGE & DISTRICT Primary Household Language *

District of Residence * SAU / school district name

SECTION 5 — HOW DID YOU HEAR ABOUT PINNACLE? How did you hear about Pinnacle?

Referral Community Event Social Media School Website Other

SECTION 6 — ADDITIONAL INFORMATION (optional) Additional Information

Students with disabilities: Know your rights. See the civil rights and charter schools information available at pinnaclecharternh.com.

Parent/Guardian Signature Date

Pinnacle Charter School | PO Box 326, Colebrook, NH 03576 | info@pinnaclecharternh.com | 603.490.3703 | pinnaclecharternh.com Copyright © 2025 Pinnacle Chartered Public School. All rights reserved.