Pre-Registration

Pre-Registration

Please note that submitting this form does not guarantee enrollment at NGCA for the upcoming academic year.
Student's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Grade*
Student's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade
Student's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade
Student's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Enrollment Year*
Enrollment Year
Enrollment Year
Parent Information
Parent/Guardian 1 Name*

First NameLast Name
Gender*
Parent/Guardian 1 Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Parent/Guardian 2 Name

First NameLast Name
Gender
Parent/Guardian 2 Email
example@example.com
Phone Number
Please enter a valid phone number.
My child has attended another school outside of homeschool:*

YesNoThis is my child's first year of school
Name of Most Recent School Attended
Registration Fee: $250/student

Registration will be considered complete once all required paperwork is submitted, the $250 registration fee is paid, and we have received your student's academic records.
I would like to pay by:
Should be Empty:

Parent Information