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Independence Charter Academy provides the premier alternative educational environment in California. Our culture of excellence aligned with our passionate teachers and staff work creates a unique educational environment for students to achieve real-world success.

Upon completion of this form, you will receive an ICA enrollment packet that will provide us with all relevant information pertaining to the enrollment of your student, immunization records, a birth certificate, transcripts for high school students, and an acceptable use agreement. Simply fill out this form and fax it to us at 760-245-1034.

To get started, please provide some basic information about yourself and your student.

All of our students have unlimited access to our online portals, education resources and valuable affiliations with many of the top universities in California. Enroll today!

  • Student Information

  • Date Format: MM slash DD slash YYYY
  • Parent/Guardian Information

  • Helendale School District Request for Student Records

    Public law 93-380 (The Family Education Rights and Privacy Act of 1974) states in part that when student records are to be transferred to another school, and/or agency, parents or guardians of students, or students over 18 years of age, be notified of such transfer, receive a copy of the records being transferred if desired, and have an opportunity for a hearing to challenge the content of the record.

    In order to honor the request for transfer of records, approval is necessary as indicated below. Copies of such records may be obtained by parents or guardians of students, or students over 18 years of age, by submitting a request in writing to the school office (there may be a charge not to exceed $0.25 per page copied in order to defray costs).

    Request transfer of:

    • Medical and Health Records
    • Cumulative Folder and Transcript
    • Any Psychological Testing and Special Education Placements
  • Date Format: MM slash DD slash YYYY

  • Date Format: MM slash DD slash YYYY
  • I understand by submitting this form, I am giving permission to Independence Charter Academy to secure the student records for the student listed above. My electronic signature above serves as my signature of approval.
  • This field is for validation purposes and should be left unchanged.