Student Update Form for Upcoming Year

Complete the Student Update form below. The annual $125 family registration fee is due with your registration form, but you can opt to call in the payment to give yourself a few extra days for payment. The family registration fee can be paid on the next screen via credit card, PayPal, or telephone. If by telephone, you will be asked when you will call us.

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

STUDENT INFORMATION:

Student 1 Full Legal Name (required)

Student 1 Male or Female (required)

Student 1 Date of Birth (required)

Student 2 Full Legal Name

Student 2 Male or Female

Student 2 Date of Birth

Student 3 Full Legal Name

Student 3 Male or Female

Student 3 Date of Birth

Student 4 Full Legal Name

Student 4 Male or Female

Student 4 Date of Birth

PARENT INFORMATION:

Parent Name or Names (required)

Mailing Address (required)

Street Address

City (required)

State (required)

Zip (required)

County (required)

Email- primary not junk account (required)

Home Telephone (required)

Cell Phone

SIGNATURE:

By entering my name in the Signature box, I verify the information entered is correct.

Parent Signature (required)

Signature Date (required)

The next screen will provide a payment button or call in option for the annual Family Registration Fee. Thank you!
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If error message when submitting, re-enter validation code. If still an error message, look for any uncompleted questions above and resubmit again.