Parents' Contact:

Father's  First Name: Mothers's  First Name:
Father's  Last Name:

Mother's Last Name:

 Father's Cell:  Mother's Cell:
 Father's Occupation:  Mother's Occupation:
Father's Business Phone Number: Mother's Business Phone Number:
 Father's Email:  Mother's Email:

Student's Info:


 Student's First Name:  Student's Birthday:
Student's Last Name:    
 Address:  City:
 Home Number:    
 Prior School attended:    
    In the final stage of registration you will be asked to provide Emergency, Medical and Immunization information. 
 You will be charged $650 as a registration fee     
 Credit card Number