Pasadena Virtual School

 O N L I N E    C O U R S E
R E G I S T R A T I O N    F O R M

Fill out this form virtually then press submit.  Print the Student Contract and Counselor Permission and mail or fax it to the Pasadena Virtual School office.  Our address is 1515 Cherrybrook Lane, Pasadena, Texas  77502 and our fax number is 713-740-4026.  Please submit one form for each course you plan to take.  You will not be officially enrolled until payment is received.  For assistance, please call 713.740.0131 or email the PVS registrar, Luci Weaver at lweaver@pasadenaisd.org.  Student enrollment will be on a first come first served basis (limited to 22).

How did you hear about us?                                                     
School Information

School Attending                                                     

 
Student Information
First Name   Last Name 

 ID                                  

Address  City                            Zip 
Home Phone  Cell Phone 
Student Email Address                              REQUIRED (if student doesn't have an email address use parents)
Grade  Birthday                           
Counselor Name                                                      Counselor Email
Course Name                                                      Semester                                 Session 
 
Parent/Guardian Information
Name                                                     
Email Address                                                      
Work Phone  Cell Phone 

How do you plan on paying?