Register for Session
.:
Registration Form
:.
NOTE: Registration (Steps 1-5) puts a student on the class roster and is confirmed when payment is received. Tuition can be paid online, by mail or over the phone.
Registration Step
1
of 5 >>
Student Identification
Student First Name:
Middle Initial:
Student Last Name:
Grade (Rising):
6th
7th
8th
9th
10th
11th
12th
Freshman
Sophomore
Junior
Senior
Adult
Gender
Male
Female
Student's Age:
School:
Session Reservation:
**If the session you want is full, you will be put on the waiting list and your payment will not be processed unless a seat becomes available.
I am a:
Parent
Student
Teacher
Counselor
Administrator
Vendor
Other
First Name:
Middle Intial:
Last Name:
Address:
City:
State:
NC
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MS
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Email:
Alternate Email:
Phone (home):
Phone (work):
Ext.
Phone (mobile):
Fax Number:
How did you hear about us?
Another Parent
Former Student
Family Member
Newspaper Ad
Web Search
Teacher
School Counselor
Private Counselor
Other
If Other, please comment here:
Who may we thank for a referral?
Other comments or questions:
Payment method:
Pay Now Online
Pay by Mail
(Tuition Fees)
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