Application Form - Continuing Students
CROSS Education
Student Information
Student's Name
*
First Name
Middle Name
Last Name
Parent/Guardian Information Update
Name of Parent/Guardian
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (0000) 000-0000.
Email
*
example@example.com
Have there been changes or specific concerns about your child you'd like us to know? Please share details.
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Package Information
Choose a Program:
*
Textbooks
Note: Items with asterisk (*) are OPTIONAL. Required books may slightly vary per Grade level. Details will be indicated in your Statement of Account.
*
Payment Details
Choose Payment Terms
*
Please Select
Single Payment
Two Payments
Three Payments
Notes: Post-dated cheques are required for installment/term payments. Installment Terms is not applicable for Textbooks.
Parent Consent Form
Data Privacy and Confidentiality
We understand the importance of keeping your information secure and confidential. CROSS Education (CROSS Home-School Academy, Inc.) employs appropriate technical and organizational measures to safeguard your personal data against unauthorized access, disclosure, alteration, or destruction.
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