KDO Highschool/Bridge Registration

Please submit one registration form per student

Please complete the following form to register online. You can pay the registration fee through Paypal or you can send a check/money order to KDO Academy, 2536 Eastern Blvd, Unit 131,York, PA 17402. Please be sure to mark the name of the student(s) on the check. Note: The fee for bounced/returned checks is $25

The registration fee(s) must be paid to fully register. Registration fee(s) are non-refundable.

$80/student; $20 Late fee for registrations received after 8/21/2025. NOTE: Late fee waived for 2nd semester classes starting 2026

These fees cover the following:

Jupiter Online: $15/student
Cleaning fee: $45/student
Processing fee: $20/student

Please read the KDO Policies and Guidelines found on the website, including the Class Withdrawal policy. By submitting your registration form you and your student are confirming that you have read and agree with the KDO Policies and Guidelines.

Registration is not complete until payment is received and all forms listed below are received: (all forms are found on the 'Forms' page on the KDO website)

HS/Bridge Registration Form
HS/Bridge Medical Form

If any questions, please contact the HS/Bridge Registrar at registration@kdoacademy.org

This registration is:*

How did you hear about KDO:

If this is a Change registration; please fill out all the classes you want your student registered for (your previous registration form will be replaced with this one so all the classes need to be listed). Note on the bottom of this form what you are changing.

Parent Name:*

First NameLast Name

Today's Date:*

Date

Parent E-mail:*

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone Number:*

Area CodePhone Number

Mobile Phone Number*:*

Area CodePhone Number

*Mobile phone required if you will want to sign up for Jupiter Emergency Text Notifications. Note: message and data rates may apply.

Work Phone Number:

Area CodePhone Number

_______________________________________________________________________________

I am a KDO Instructor:*

NoYes

Student Name:*

First NameLast Name

Student is:*

*If New Student, please list name and contact information of current or previous attendance of a co-op, association, school or church, or KDO reference for verification.

If you want your student's email address added to the KDO Admin announcement list; please enter it below

Student Email:

Mobile Phone Number*

Area CodePhone Number

*Mobile phone required if you will want to sign up for Jupiter Emergency Text Notifications. Note: message and data rates may apply.

Grade upcoming school year:*

Date of Birth:*

MonthDayYear

Note any educational needs that your student's teacher(s) should be aware of. This is only seen by the teachers.

Student Cell Phone:

Area CodePhone Number

_______________________________________________________________________________

Please fill in all periods 1 - 4; if you are not registering for a class please select 'Student off Campus'. Note: students may not remain in the building or parking lot if not enrolled in a class.

_______________________________________________________________________________

Period 1 (Full Year)*

Period 1 (1st Semester)

Period 1 (2nd Semester)

_______________________________________________________________________________

Note: Period 2 is a two hour class time; classes that meet during that time for a one hour class are marked as 2A (for the first hour) and 2B (for the second hour)

Period 2 (Full Year)*

Period 2A (1st Semester)*

Period 2A (2nd Semester)*

Period 2B (1st Semester)*

Period 2B (2nd Semester)*

_______________________________________________________________________________

Period 3 (Full Year)*

Period 3 (1st Semester)*

Period 3 (2nd Semester)*

_______________________________________________________________________________

Period 4 (Full Year)*

Period 4 (1st Semester)*

Period 4 (2nd Semester)*

_______________________________________________________________________________

Comments: If this is a change registration, please note what you are changing.

I, the parent, have read and agree to all the KDO Policies and Guidelines*

Yes

Agreed by parent:*

First NameLast Name

My student has read and agrees to all the KDO Policies and Guidelines*

Yes

Agreed by student:*

First NameLast Name

Registration Payment:*

I am paying via PayPal belowI am paying via CHECK and will pay at the front deskI am paying via CHECK and will mail to the address listed aboveN/A

NOTE: Check payment must be received within two weeks of the registration date or your spot will be forfeited (bounced or returned checks fee is $25).

Add to cart: (if paying w/Paypal)

Registration fee per student:$80.00

How many students?
Item subtotal:$0.00

Total $0.00

Note: Select ONE Paypal option: Registration fee per student OR Instructor's Jupiter Fee per student (for Instructors only).

Note: By adding to the shopping cart, this will redirect you to Paypal. If you are paying by check, please let this section blank. You may use it to calculate the amount of your fees, but please reset before pressing submit. Otherwise your registration will not reach its intended destination.

If your registration form was submitted successfully, you will receive an immediate automated confirmation to the email address listed on the registration form. If you do not receive a confirmation, please try submitting it again. Be sure you also submit all the required forms and payment. You are expected to complete all forms and payment with submission of your registration. Should you accidentally miss something, you will be given a grace period of 24 hrs, after the Registrar notifies you of the missing form, to submit the missing pieces of your registration without forfeiting your spot.

Your registration will be processed within a week and you will receive a personalized confirmation from the Registrar confirming your classes and advising you if your student has been placed on a waitlist. Please read your confirmation carefully.

Please note that your registration to the educational resource group (KDO Academy) is provisional and subject to verification. If any issues regarding the student’s eligibility or information arises during the verifications process, the registration may be revoked at the discretion of the organization.

Any Registration Questions, please contact the HS/Bridge registrar at: Registration@KDOAcademy.org

KDO High School/Bridge Registration Form