registration

Today's date*

Student's Full Name*

First Last

Gender*

Male
Female

Address*

Street Address Address Line 2 City State ZIP Code

Completed grade*

Grade to be registered*

Date of birth*

Student's age on September 10th*

Mother's Full Name*

First Last

Cell phone number*

Email*

Father's Full Name

First Last

Cell phone number

Email

Other than parents emergency contact 1*

Relationship*

Phone number*

Other than parents emergency contact 2

Relationship

Phone number

What is the student's primary language?

Does the student speak English?*

Yes
No

Is the student being transferred from another school?*

Yes
No

Name of the school transferring from

Finished grade

School address

School fax number

Does the student have any medical issues or allergies?*

Yes
No

Please, explain in detail:

Do you have any outstanding balance (tuition and/or lunches) for this student for the past year?*

No
Yes
I don't know

Please, briefly describe how and when you are going to pay it off.*

PLEASE, CONTACT THE OFFICE TO FIND OUT THE STATUS OF YOUR FINANCIAL STANDING BEFORE THE BEGINNING OF A NEW SCHOOL YEAR.

Please, indicate below how do you plan to cover all the FEES and TUITION expenses.*

Working at school
Working and paying the remainder
10 months payment plan (no discount)
9 months payment plan (no discount)
2 times payment (2% discount)
1 time payment (5% discount)

Consent*

Me and my student agree to comply with the Dress Code Policy.*

Consent*

Me and my student agree to comply with the Demerit and Detention Policy.*

WELCOME

TO 2021 – 2022 STUDENT REGISTRATION FORM!