Student Registration Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Gender
M/F
Birthdate
mm/dd/yy
Age
Email
Contact # (If available)
Which grade/class are you?
Please Select
Grade 7 (Junior High)
Grade 8 (Junior High)
Grade 9 (Junior High)
Grade 10 (Junior High)
Grade 11 (Senior High)
Grade 12 (Senior High)
Name of School
What are your interest?
Electronic Device to be used.
Please Select
Computer
Laptop
How many hours you can set aside/dedicate for this course
Preferred Schedule
8:00 AM - 11:00 AM
11:00 AM - 3:00 PM (Lunch 12:00 PM)
3:00 PM - 6:00 PM
Other
Emergency Contact (Name, Relationship, contact number, email) We will send them letter of consent for your admission.
Parental Consent Letter. After signed, please attached the file here. https://1drv.ms/b/s!Ah2iNRQ2hkBtlAs-5CQzUUWG8Gsc?e=VAoPyt
Browse Files
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Your latest grade card.
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Who referred you to us? (How did you here about us?)
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