Course Registration Form

Student Pre-Registration Form

2024-2025 School Year
Student Name

First NameMiddle NameLast Name
Parent/Guardian Name #1

First NameLast Name
Parent/Guardian Name #2 (If Applicable)

First NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Phone Number
Alternate Phone Number
Would you like a tour of the School?
Additional Comments
Should be Empty: