Please fill all the required fields and we will send you a registration form required by the state to be filled for each child.
Registering for
*
Spring 2025
1 - Start Date
*
-
Month
-
Day
Year
NOTE: Your start day will be moved to the following day if the registration is received after 12:00 PM.
2 - Student's Full Name
*
First Name
Last Name
3 - Student's Date of Birth
*
-
Month
-
Day
Year
Date of Birth
4 - Current Grade Level
*
Please Select
3
4
5
6
7
8
School Name
*
PARENT INFORMATION
Mother Full Name
*
First Name
Last Name
Mother Email
*
example@example.com
Mother Phone Number
*
Please enter a valid phone number.
Father Full Name
*
First Name
Last Name
Father Email
*
example@example.com
Father Phone Number
*
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
PAYMENT
Please select your preffered option
*
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Maktab: One Time Payment (SAVE $75)
$
690.00
Maktab: Monthly Payment
The cost is calculated as: $45 × 17 weeks = $765, then divided over 4 months ($191.25 per month)
$
191.25
Add Sports (Monthly Fee)
Tuesdays 5:00 pm - 6:30 pm
$
49.00
Add Math (Monthly Fee)
Saturdays - 1:00 pm - 2:00 pm
$
55.00
Add English - (Monthly Fee)
Saturdays - 2:30 pm - 3:30 pm
$
55.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Enrollment Agreement
Please review and sign
*
Signature
*
Date of Consent
*
/
Month
/
Day
Year
Date
How did you hear about us
*
Whatsapp
Email
Instagram
Facebook
GEM Newsletter
Google
Friend
Representative called
Received postcard
Fair/Carnival/Booth
Back to School Fair
Other
Submit
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