FOOTHILL PREPARATORY SCHOOL

FOOTHILL PREPARATORY SCHOOL
9123 Broadway

Temple City, California 91780

Tel: (626) 282-9936 Fax: (626) 282-9937
Grades 9 - 12 Summer School Programs Application Form
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Home Address No. *
Home Street Name *
City *
State *
Zip Code *
Telephone: *
Student Email Address: *
Name of Parent #1 or Guardian: *
Parent #1 or Guardian Cell Phone: *
Parent #1 or Guardian Email Address: *
Name of Parent #2 or Guardian:
Parent #2 or Guardian Cell Phone:
Parent #2 or Guardian Email Address:
Name of School (2020-2021) *
School Address: *
Grade Level (2020-2021) *

9th Grade 10th Grade 11th Grade 12th Grade
Do you want to transfer credits to your school? *

Yes No
Type in the course(s) you are interested in taking at FPS. *
By printing and signing my name below, I indicate that I understand and agree to a non-refundable tuition policy. I agree that a legal Fax or email is equivalent to an original legal document that I signed and printed my name.
Student Name: *
Student Signature (use your computer mouse to sign) *

Clear
Guardian Name: *
Guardian Signature (use your computer mouse to sign) *

Clear
Today's Date: *

Month Day Year
Date
Step 1: Send your application to info@fpsch.org
Step 2:

a). Submit a Picture in Color At least 2x2 inches in size The head is about 1 & 1 3/8 inch Taken in Full- face view Taken within the last 6 months Plain light color background.

b). Submit your most current report card and/or transcript.

***Please send the photo with the student name and report card and/or transcript to info@fpsch.org and upload the files below.
Upload a Picture Here (100MB max) *

Browse Files

Cancel of
Upload Report Card and/or Transcript Here (100MB max) *

Browse Files

Cancel of
Step 3:

Fees:

Registration Fee: $25

Tuition: Morning Class / Afternoon Class: $350 , Evening Class: $400

Refund/Cancellation Policy:
Fees once paid will not be refunded under any circumstances.

Option #1: Please send the check with student name to:

Foothill Preparatory School

9123 Broadway

Temple City, CA 91780

Option #2: Please send payment through Paypal to:

lliu@fpsch.org
Please Select Payment Type *

Check Paypal to lliu@fpsch.org
Please verify that you are human *
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FOOTHILL PREPARATORY SCHOOL

Grades 9 - 12 Summer School Programs Application Form