Application - Print-Based Option

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Print-Based Option
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Please complete the application in one sitting. The application will delete the entered data after 10 minutes of inactivity.
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Registering:
NEW Student
Re-Enrolling Student
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Parent Name / Admitting Adult* This field is required.Primary parent that will be supervising the student.
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Cell Phone* This field is required.
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Alternate Phone NumberOptional
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Email* This field is required.
example@example.com
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Address* This field is required.
Street Address
Unit or Apartment #
City
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Add a 2nd Adult?* This field is required.If the Admitting Adult is unavailable, it's best to have a 2nd Adult on file.
Yes, I would like to add another adult.
No, there is no one else to add.
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Adult 2 Information
Adult 2 - Name
Best Phone Number
Email Address
Mother
Father
Grandmother
Grandfather
Aunt
Uncle
Cousin
Friend
Other
Relationship to Student
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I'm enrolling ________ kids.* This field is required.
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2
3
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Student Information* This field is required.Please complete the information needed
Full Name
Student Email Address
Date of Birth
Female
Male
Gender
Age
K-4
K-5
1st
2nd
3rd
4th
5th
6th
Grade
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Add another Book course for this student?* This field is required.Please note: We assign up to 6 subjects, but you may choose to add a course for $250 full year or $25 per month.
Yes, please.
No, thank you.
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School Information* This field is required.Previous school attended.
School Name
School Phone Number
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Student Picture
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Student InformationPlease complete the information needed
Full Name
Student Email Address
Date of Birth
Female
Male
Gender
Age
K
1st
2nd
3rd
4th
5th
6th
Grade
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Add a Book course for this student?Please note: We assign up to 6 subjects, but you may choose to add a course for $250 full year or $25 per month.
Yes, please.
No, thank you.
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School InformationPrevious school attended.
School Name
School Phone Number
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Student Picture
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Student InformationPlease complete the information needed
Full Name
Student Email Address
Date of Birth
Female
Male
Gender
Age
K
1st
2nd
3rd
4th
5th
6th
Grade
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Add a Book course for this student?* This field is required.Please note: We assign up to 6 subjects, but you may choose to add a course for $250 full year or $25 per month.
Yes, please.
No, thank you.
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School InformationPrevious school attended.
School Name
School Phone Number
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Student Picture
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Discounted Registration is $150 per school year.

Tuition is $1250 for Full Year Payment

or

Monthly Tuition is $125 per month*.

(Optional)

ADD A COURSE for an additional

$250 Full Year or $25 per month.

(If interested in online course, please speak with our office directly.)

Registration and Tuition is per student.

*Auto-Pay option only. Bill me option available for $10 more per month.
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Tuition Plan payment preference:* This field is required.Remember: If you chose to add a 6th course, you must choose a course Tuition Plan.
Full Year
Monthly - Auto Pay
Monthly - Bill Me (+$10)
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Please process my Registration payment on: * This field is required.
January
February
March
April
May
June
July
August
September
October
November
December
Month
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Day of the Month
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Tuition Payment* This field is required.FULL YEAR Payment = Process date. Monthly Plans = "begin my payments on" date.
January
February
March
April
May
June
July
August
September
October
November
December
Month
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Day of the Month
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I prefer my remaining Tuition payments to be on the _______ of each month.* This field is required.
1st
5th
10th
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Occasional INCIDENTAL Fees - (most common)

$50 Late Assignment

Up to 12 per school year depending on your time of enrollment. A schedule of these dates is provided at enrollment and can be found on our School Calendar.
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I prefer Incidentals to be processed by:* This field is required.
Auto-Pay
Invoice by email
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By policy, we will not ask for the full credit card number through any online form. This ensures your card information is kept safe.

Please call us to give the full card information.
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Type of card* This field is required.
VISA
MASTERCARD
DISCOVER
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Last 4 digits on cardThis will NOT charge the card. Please call to schedule the payment.
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Terms & Conditions* This field is required.
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Signature* This field is required.Signing this box, you are stating the information provided is accurate to the best of your knowledge.
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Please verify that you are human* This field is required.
Should be Empty: