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:
 Zip:    
 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     
Expiration      
 CVV