Services Order Form

Services Order Form
Our currently enrolled families may use this form to purchase additional services during their school year. If you would like to purchase services for multiple students, you must submit one services order form per student.
Student's Name*

First NameLast Name
Parent's Name*

First NameLast Name
Parent's Email Address*
example@example.com

Services
In addition to yearly enrollment, you may also choose to purchase additional services. More information about these services may be found on our website.

Student IDs, Educator IDs, and Progress Reports may be purchased for any grade level. Placement Tests are available for students entering grades K-8.
Would you like to purchase a Student or Educator ID?

Student ID--$15Educator ID--$15
Would you like to purchase a progress report?

Progress Report--$15
Would you like to purchase placement testing?*

YesNo
Placement Testing Options*

Reading Only--$20Math Only--$20Both Reading & Math--$35

Student/Educator ID Photos
Please use the upload field below to submit your photo headshot for your requested ID(s).

NOTE: the photo will appear on your finished ID as a 1 inch by 1 inch square photo. Please crop your photo prior to submitting (shoulders and head only, square photo) to meet these specifications and to prevent a distorted image on the finalized ID.
Student ID Photo Upload

Browse Files
Accepted File Types: jpg, jpeg, png, gif Cancelof
Educator ID Photo Upload

Browse Files
Accepted File Types: jpg, jpeg, png, gif Cancelof

Payment
Your total is shown below. Upon submitting this form you will be forwarded to PayPal to complete your payment.
Type a question
Order Total

prevnext( X )
USD
Should be Empty:

Services