Enrollment Fee
The fee is nonrefundable.
Student Name
*
Student First Name
Student Last Name
Incoming Grade?
*
9th
10th
11th
12th
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Enrollment Confirmation Deposit
*
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$140 Full Enrollment fee
Due by May 1
$
140.00
Quantity
1
2
Credit Card
*
Zip Code
Email
*
example@example.com
To arrange payment options, contact the Admissions Office at
916-400-3478
or
kbarbosa@crhss.org
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