Re-Enrollment Form

Student Name

Upcoming Grade

Address

Parent/Guardian Name 1

Parent/Guardian 1 Email

Parent/Guardian 1 Phone

Parent/Guardian Name 2

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

Payment Plan: Upfront, Semester, Quarter, Monthly

Payment Method: Cash, Check, Zelle

By typing "YES" I am stating that I understand that we must pay a $175 enrollment fee.

By typing "YES" I am stating that I understand that we must pay on time, otherwise we must pay a late fee.