Enrollment Application

Enrollment Application
Our Enrollment Process

Scholars must have reached the age of 2 by September 1st of the year of enrollment.

Future scholars are considered upon the basis of their developmental level as well as availability of space in the appropriate class.

Enrollment documents, along with the non-refundable registration fee of $375, are required for acceptance into H.E.R. Academy.
Scholar's Name*

First NameLast Name
Scholar's Date of Birth*
Scholar's Age*
Scholar's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Father's Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Scholar's Start Date*
Program Choice*

Full DayVPKAfter School
Signature of Agreement*

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Enrollment Fee *NON REFUNDABLE*
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Enrollment FeeApplication fee, First week of tution, Curriculum, supplies, and 2 uniform patches.
$375.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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