Buhler Christian Academy Registration
Child Information
*
Phone Number
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian #1
*
First Name
Last Name
Parent/Guardian #2
First Name
Last Name
If you will be paying your Registration Fee via Cash it must be paid in full by August 5th. Thanks.
Enrollment Options
prev
next
( X )
Prekindergarten (Must be 4 by September 1st)
$
85.00
Quantity
Kindergarten (Must be 5 by September 1st)
$
250.00
Quantity
1st through 6th
$
360.00
Quantity
3's Class
$
85.00
Quantity
1
2
3
4
5
6
7
8
9
10
Waitlist
Click this box If the class you are interested in is full. Select the class you are interested and fill out the rest of the form as usual. Thank you so much for your interest!
$
Free
Waitlist
Quantity
3's Class
1
2
3
4
5
6
7
8
9
10
Prekindergarten
1
2
3
4
5
6
7
8
9
10
Kindergarten
1
2
3
4
5
6
7
8
9
10
1'st through 6th
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
ACH Bank Transfer
Submit
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