STUDENT INFORMATION:

Full Legal Name (required)

Date of Birth (required)

Male or Female (required)
---MaleFemale

Student Grade Level 2020-2021 year (required)

Last School Attended (required)

School's City (required)

School's State (required)

Select the program/curriculum structure for your student, if known:
PreKindergartenKindergarten1st or 2nd Grade3rd-5th Parent-teacher Led Online3rd-5th Parent-teacher Led Combo3rd-5th Distinctive3rd-5th Elite6th-8th Parent-teacher Led Online6th-8th Parent-teacher Led Combo6th-8th Distinctive6th-8th EliteHigh School EliteNot Sure Yet

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 reduced $62.50 Family Registration Fee. Normally $125! 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.
Will pay online on next screenWill call with 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? (for call in payment)

Approximate time you will call? (for call in payment)

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
---Previously EnrolledSibling EnrolledOther

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.