Tuition Deposit

Tuition Deposit $200.00

Tuition Deposit is Non-Refundable
Student Information
Student Name *

First Name Last Name
Starting Term *
Semester and year, ex: Fall 2020
E-mail *
Phone Number *

Area Code Phone Number

Student Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

International Student Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Primary Parent / Guardian Information
Parent / Guardian *

First Name Last Name
Parent / Guardian E-mail *
example@example.com
Parent / Guardian Phone Number *

Area Code Phone Number

Parent/ Guardian Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

PayPal Checkout *

Tuition Deposit $ 200.00

Total $ 0.00

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: