Application Form

Application Form

This form will be used to express enrollment in our program. Once we receive your application fee, we will begin to process your enrollment
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail where invoice will be sent
example@example.com
Parent Mobile Number
Work Number
How will you be paying for your child's tuition?
If using Step up for Students Scholarship; What is the Students Scholarship Award Number:
Once we receive the fee associated with the application and this form, we will be in touch with the next steps.
Should be Empty:

Once we receive the fee associated with the application and this form, we will be in touch with the next steps.