Course Registration Form

Contact Information:

Foothill Preparatory School

9123 Broadway

Temple City, California 91780

Tel: (626) 282-9936 Fax: (626) 282-9937
Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Student Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
Mobile Number*

Area CodePhone Number
Parent #1 / Guardian Name*

First NameMiddle NameLast Name
Parent #1 / Guardian Email Address*
Parent #1 / Guardian Mobile Number*

Area CodePhone Number
Parent #2 / Guardian Name

First NameMiddle NameLast Name
Parent #2 / Guardian Email Address
Parent #2 / Guardian Mobile Number

Area CodePhone Number
Name of Current School*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Check The Course(s) Interested*

AP Art HistoryAP ChemistryAP Calculus ABAP Calculus BCAP Environmental ScienceAP Computer Science PrinciplesAP US HistoryAP StatisticsAP Physics IAP English Language and LiteratureAP English Language and CompositionAP SpanishAlgebra IAlgebra IIGeometryPre-CalculusMath AnalysisTrigonometryPhysicsBiologyEarth ScienceEnglish Language ArtsHonors PhysicsHonors ChemistryComputer ScienceSpanish ISpanish IIEconomicsAmerican GovernmentWorld HistoryUS HistoryELD I (Grade 6-12)ELD II (Grades 6-12)ELD III (Grades 6-12)Earth Science (Grade 6)Life Science (Grade 7)Physical Science (Grade 8)English Language Arts (Grade 6)English Language Arts (Grade 7)English Language Arts (Grade 8)World History and Geography of Ancient Civilizations (Grade 6)World History and Geography of Medieval and Early Modern Times(Grade 7)United State History and Geography From The Founding of the Civil War (Grade 8)Introduction to Music (Middle School)Introduction to Art (Middle School)Health and Nutrition (Middle School)
Do you want to transfer credits to your school?*

YESNO
Current Grade Level*

6th Grade10th Grade7th Grade11th Grade8th Grade12th Grade9th Grade
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.

Step 3:

Fees:

Registration Fee: $25

Tuition:

Two Days Per Week: Regular Course $250 per month; AP Course $350 per month.

Three Days Per Week: Regular Course $375 per month; AP Course $500 per month.

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 Zelle to:

lliu@fpsch.org
Please Select Payment Type:*

CheckZelle to lliu@fpsch.org
Upload Documents Here (2x2 photo, transcripts, report cards, etc)*

Cancelof
By printing and signing my name below, I indicate that I understand and agree to 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*

Clear
Parent / Guardian Name*
Parent / Guardian Signature*

Clear
Today's Date*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Student Registration Form