Step Two: Registration Form One Student

The $125 family registration fee is due with your registration form. You can pay the family registration fee online or call in your payment information.  The family registration fee is separate from the first tuition payment that is typically due before student work begins. The registration fee is non-refundable since office work tasks are involved right away.

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 call in your payment information to pay the registration fee, please enter the day and time you will call in your payment information.

If calling in your payment information, when 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.