RISE East Bay Student Registration Form
Salāmun ʿAlaykum! May Allah bless you and your family. We welcome and are honored to your child part of the RISE East Bay Family. Prior to completing this application, please have the report cards from the last 2 years of your child/children's education ready to submit (if applicable). You will be redirected to pay the registration fee afterwards as well.
Tuition and Fees
Please view before applying at www.riseeastbay.education/tuition
RISE East Bay - RISE School HUB
For the 2021 - 2022 academic school year at RISE East Bay, first grade and above will be offered in a School HUB school format. RISE School HUB is an approach to integrate both online and in-person schooling. Students in these grade levels will be attending class full time and in-person under the supervision of the RISE School HUB Coordinator. Students will be working in collaboration with RISE Online teachers for academic instruction from 8am - 1pm pst, as well as RISE East Bay teachers for student engagement and enrichment activities from 1pm - 3pm.
I understand the above statement regarding the RISE School HUB approach.
*
I read and undersand
Contingencies & Refunds
Toddler and Preschool classes are contingent upon licensing. TK is for children aged 4 years old. Middle and High School grade levels are contingent on student registration. For any class signed up for that does not take place during this school year, a refund will be issued for that student's tuition. Please contact admin@riseeastbay.education with any questions or concerns.
I understand the above statement regarding contingencies and refunds.
*
I read and understand
Family Information
Primary Parent First Name
*
Primary Parent Last Name
*
Primary Parent Email Address
*
Primary Parent Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Parent First Name
Secondary Parent Last Name
Secondary Parent Email Address
Secondary Parent Phone Number
-
Area Code
Phone Number
Same Address as the Primary Parent?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
*
Number of Children
*
Please Select
1
2
3
4
5
How did you hear about RISE East Bay?
*
Kisa Kids
SABA
Instagram
Facebook
RISE Academy
Salam Online
Word of Mouth
Referral
Other
Who were you referred by?
*
What the is the main reason for choosing RISE East Bay?
*
Would you like to subscribe to our emails?
*
Yes
No
I am already subscribed!
Back
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Child #1
First Name
*
Middle Name
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Incoming Grade for 2021-2022 School Year
*
Please Select
Toddler
Pre K
Transitional KG (TK)
Kindergarten
1st Grade HUB Student
2nd Grade HUB Student
3rd Grade HUB Student
4th Grade HUB Student
5th Grade HUB Student
6th Grade HUB Student
7th Grade HUB Student
8th Grade HUB Student
9th Grade HUB Student
10th Grade HUB Student
11th Grade HUB Student
12th Grade HUB Student
Toddler & Pre-K Contingent on licensing | TK is 4 Years Old | 1st Grade & Above are RISE School HUB |
Current School
*
Please upload the report card or transcript for your child's last 2 years of school
Browse Files
Cancel
of
Child #2
First Name
*
Middle Name
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Incoming Grade for 2021-2022 School Year
*
Please Select
Toddler
Pre K
Transitional KG (TK)
Kindergarten
1st Grade HUB Student
2nd Grade HUB Student
3rd Grade HUB Student
4th Grade HUB Student
5th Grade HUB Student
6th Grade HUB Student
7th Grade HUB Student
8th Grade HUB Student
9th Grade HUB Student
10th Grade HUB Student
11th Grade HUB Student
12th Grade HUB Student
Toddler & Pre-K Contingent on licensing | TK is 4 Years Old | 1st Grade & Above are RISE School HUB |
Current School
*
Please upload the report card or transcript for your child's last 2 years of school
Browse Files
Cancel
of
Child #3
First Name
*
Middle Name
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Incoming Grade for 2021-2022 School Year
*
Toddler
Pre K
Transitional KG (TK)
Kindergarten
1st Grade HUB Student
2nd Grade HUB Student
3rd Grade HUB Student
4th Grade HUB Student
5th Grade HUB Student
6th Grade HUB Student
7th Grade HUB Student
8th Grade HUB Student
9th Grade HUB Student
10th Grade HUB Student
11th Grade HUB Student
12th Grade HUB Student
Toddler & Pre-K Contingent on licensing | TK is 4 Years Old | 1st Grade & Above are RISE School HUB |
Current School
*
Please upload the report card or transcript for your child's last 2 years of school
Browse Files
Cancel
of
Child #4
First Name
*
Middle Name
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Incoming Grade for 2021-2022 School Year
*
Toddler
Pre K
Transitional KG (TK)
Kindergarten
1st Grade HUB Student
2nd Grade HUB Student
3rd Grade HUB Student
4th Grade HUB Student
5th Grade HUB Student
6th Grade HUB Student
7th Grade HUB Student
8th Grade HUB Student
9th Grade HUB Student
10th Grade HUB Student
11th Grade HUB Student
12th Grade HUB Student
Toddler & Pre-K Contingent on licensing | TK is 4 Years Old | 1st Grade & Above are RISE School HUB |
Current School
*
Please upload the report card or transcript for your child's last 2 years of school
Browse Files
Cancel
of
Child #5
First Name
*
Middle Name
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Incoming Grade for 2021-2022 School Year
*
Toddler
Pre K
Transitional KG (TK)
Kindergarten
1st Grade HUB Student
2nd Grade HUB Student
3rd Grade HUB Student
4th Grade HUB Student
5th Grade HUB Student
6th Grade HUB Student
7th Grade HUB Student
8th Grade HUB Student
9th Grade HUB Student
10th Grade HUB Student
11th Grade HUB Student
12th Grade HUB Student
Toddler & Pre-K Contingent on licensing | TK is 4 Years Old | 1st Grade & Above are RISE School HUB |
Current School
*
Please upload the report card or transcript for your child's last 2 years of school
Browse Files
Cancel
of
Back
Next
Enrollment Fee Payment
Enrollment Fee
*
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( X )
New Students
$
500.00
Quantity
0
1
2
3
4
5
Enter coupon
Apply
Total
$
0.00
Will you be applying for financial aid for the 2021-2022 school year? (Please note that financial aid is available for only elementary grades and above)
*
Yes
No
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: