Enrollment Form

Enrollment form for the 2010-2011 school year

Students Name*

Address*

Home Phone Number*

Email Address

Anticipated Grade for Next Year*

Pay by Check

Payment by check should be delivered to the school

Pay by Cash

Payment by cash should be delivered to the school

Pay by Credit

Payment by credit is only available online

Registration Fee For Each Child: (Non-Refundable)

$100.00 by June 1

$150.00 by July 1

$200.00 After July 1

*Enrollment date will be recognized when both form and payment are received by the school office

Parents Signature*

Date*

Note: * fields are required.