Step Two: Registration Form One Student

No money is due today, but the $125 family registration fee must be paid within 1 week of submitting your registration form. After you complete the brief registration form, you will be given the option of paying the $125 family registration fee in case you would like to get it out of the way today. Otherwise, you will receive an email with payment instructions, so you can pay the family registration fee within 1 week. The family registration fee is separate from the tuition fee that is typically due a week before student work begins.

For 3rd-8th grades, you do not need to decide between Distinctive and Elite Service programs at this point.

Need Help? Please call 276-496-7777 ext. 221 8am-4:30pm EST if you need any assistance OR use our Ask A Live Question when available!

STUDENT INFORMATION:

Full Legal Name (required)

Date of Birth (required)

Male or Female (required)

Student Grade Level (required)

Last School Attended (required)

School's City (required)

School's State (required)

Select the program/curriculum structure for your student, if known:

PARENT INFORMATION:

Parent Name or Names (required)

Mailing Address (required)

Street Address

City (required)

State (required)

Zip (required)

County (required)

Person Responsible For Tuition (required)

Select how you will be paying the $125 Family Registration Fee. If you will wait to pay the registration fee, please entry the day and time in the next week you will call in your payment information.

If waiting to pay the registration fee, when in the next week will you call?
Our telephone payment hours are 8am-4pm EST, 7am-3pm CST, 6am-2pm MST, 5am-1pm PST.

Day you will call? (required)

Approximate time you will call? (required)

Email- primary not junk account (required)

Home Telephone (required)

Cell Phone

START DATE AND SIGNATURE:

Date To Start School Work

How Did You Find Us

Do you have a referral code?

By entering my name in the Signature box(es), I understand and agree with the above statements and also verify the information entered is correct.

Parent Signature (required)

Signature Date (required)

One last step. View the brief information on the next screen. Thank you!

If error message when submitting, look for any uncompleted questions above and resubmit again.