Student Registration Form

- Student Registration Form
- Full Name
  
  First NameMiddle NameLast Name
- Social Security Number
  e.g. 11183021
- Year Level
  for Incoming A.Y. '12-'13
- Sport
- Email
- Phone Number
  Format: (000) 000-0000.
- Network Provider
- Birth Date
  
  MonthDayYear
- Present Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Permanent Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Parent Contact
  
  First NameLast Name
- Relationship
  ex. Father, Mother, etc.
- Address Of Person To Contact In Case Of Emergency
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number Of Person To Contact In Case Of Emergency
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Of Person To Contact In Case Of Emergency
  example@example.com
- High School Name
- High School/College Unofficial Transcripts
  
  File should be in pdf, doc/docx format.
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- Other Extra Curricular Activities
- Extra Curricular Participation
- Resources Available
- Skills/Talents
- Interests
- Sports
- Estimate Your Family Monthly Income
- Have you taken the ACT or SAT?
- Who/what is the name of your sponsor?
- Will you be attending Omega Prep Academy 2026 season?
- To What Course?
- What is your height?
- What Is your weight?
- My Products
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  Registration Fee
  Initial application fee
  
  $50.00 Quantity
  Item subtotal:$0.00
  
  
  
  Commitment Fee
  This fee is designed to add you to our official roster for enrollment and college recruitment. It is non refundable.
  
  $300.00 Quantity
  Item subtotal:$0.00
  
  
  
  Athletic Fee
  This fee covers travel, pre and post game meals and hotel accommodations on the road. Upon receipt of your commitment fee. You will receive a $5000 scholarship offer. Pay 50% of the initial fee upon registration and the remaining 50% on or before July 1st, 2026.
  
  $15,000.00 Quantity
  
  
  
  Team Gear
  Players package includes all team personalized items for the season.
  
  $300.00 Quantity
  
  
  
  Total
  
  $0.00
- Call or text for payment methods
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Student Registration Form

My Products