Student Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Student's Email (If student does not have an email, leave field blank.)
example@example.com
What grade is your child in?
*
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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5
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
Phone Number
*
Payment(You must pay a minimum of $5 as a one time registration fee. Once you submit the application, you will be directed to pay.)
*
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( X )
USD
Payment
What classes/activities (Day and Time given) do you want your child to participate in? (ALL TIMES WILL BE IN CENTRAL TIME)
K-2 Math (4:00 PM-4:45 PM on Saturdays)
3-5 Math (6:00 PM-6:45 PM on Fridays)
K-3 Reading (2:00PM-2:30 PM on Saturdays)
K-3 Reading (11:00 - 11:30 AM on Saturdays)
Pre-Algebra (12:00 AM-12:45 AM on Sundays)
Pre-Algebra (4:00 PM-4:45 PM on Saturdays)
Algebra I (2:00 AM- 2:45 AM on Sundays)
Algebra I (6:00 PM- 6:30 PM on Thursdays)
Pre-Calculus (5:00PM-5:45PM on Saturdays)
Calculus(12:00AM-12:45AM on Saturdays)
6-8 Math (6:00 PM- 6:45 PM on Fridays)
6-8 Math(1:00 PM - 1:45 PM on Saturdays)
Public Speaking (5:00 PM - 5:45 PM on Thursdays)
Public Speaking (6:00 PM-6:45PM on Saturdays)
Dance(6:00PM-6:45 PM on Wednesdays)
Debate(12:00-12:45 PM on Saturdays)
Computer Science(11:00 AM-11:45 AM on Sundays)
Computer Science(6:00 PM - 6:45 PM on Fridays)
Computer Science(7:00 PM - 7:45 on Saturdays)
Biology(7:00-7:45PM on Saturdays)
Physics(5:00-5:45PM on Sundays)
Chemistry(6:00PM-6:45 PM on Sundays)
Art (4:30 PM-5:35 PM on Saturdays)
Choir (Singing) (2:00 PM- 2:45 PM on Thursdays) ( need new timings)
Theatre (4:00-4:45 PM on Mondays)( need new timings)
Story time K-2 (3:00-3:30PM on Sundays)
Story time K-2( 7:00 - 7:30PM on Wednesdays)
Book Club for Middle Schoolers(7:00PM-7:45PM on Wednesdays)
Spanish (6:00-6:45PM on Fridays)
Spanish (12:00 - 12:45PM on Sundays)
French (5:00 PM-5:45PM on Thursdays)
French(3:00PM-3:45 PM on Sundays)
Creative Writing(6:00 PM-6:45 PM on Fridays)
Creative Writing(2:00 PM - 2:45 PM on Sundays)
Medical Terminology(8:00PM-8:30PM on Fridays)
9th grade English (7:00 PM-7:45 PM on Fridays)
Journalism(4:00PM -4:30 PM on Sundays)
Psychology(11:00-11:30AM on Saturdays)
Signature
Submit Application
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