Fast Track Registration Form

West Park High School & Adult Education

2201 SW 42 Ave

West Park, Fl 33023

www.westparkhs.com

(954) 400-8298
Fast Track Registration Form

You must be over 19 years old and out of high school for at least 6 months to enroll in this program.
Program Descriptions

☐ FastTrack – 3 Month Test Only (non-Accredited) ($400) – Reading & Math test only. Best for adults who require a diploma for employment purposes only.

☐ FastTrack PLUS – EdOptions Academy (Accredited) ($1,000) – 10 courses, 4 months, accredited diploma.

☐ FastTrack COLLEGE ACCEL – Sophia Learning ($1500) – Unlimited Sophia courses for 4-6 months, HS + college credits.

☐ CLT Graduation Pathway ($150) – Florida-approved test alternative for students with all credits but no diploma due to state test scores.
Program Selection *

Student Information
Full Name*

First NameMiddle NameLast Name
Present Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Social Security Number*
e.g. 111-83-021
Email*
example@example.com
Gender
Birth Date *

MonthDayYear
Date
Ethnic Background
A current Government-issued photo ID is required for enrollment: Please upload *

Cancelof
I agree that the above provided information is correct.

Place of Birth(City/State/Country)
Citizenship Status(check one box)*

US CitizenResident AlienForeign Student Visa
Country of Citizenship
Emergency Contact*

First NameLast Name
Relationship
ex. Father, Mother, etc.
Phone Number Of Person To Contact In Case Of Emergency*
Please enter a valid phone number.
Email Of Person To Contact In Case Of Emergency
example@example.com