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Educate your child... educate a generation!

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Registration for Returning Students

Student's Name*
First Name Last Name
Birth Date*

Month Day Year
Age*
Grade Entering*
Parent's Name*
First Name Last Name
E-mail*
Phone Number*
Does your child have an IEP?*

YesNo
Please indicate any changes to your personal/contact information that has changed since last year
TUITION
I hereby register my child*

$360 + $36 book fee
Optional Sponsorship for the education of another child

$100$180$360
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Updates

Looking forward to a wonderful year!