2022-2023 RE-ENROLLMENT FORM

(for returning students only)


Please complete this form and submit with your payment by March 1st.

Please note: all re-enrollment fees are non-refundable


Registration$300
Technology$300
Total re-enrollment fees due$600

Re-enrollment Information:

Student Name:
Grade Next Year:
10 11 12
Parent Name:
Email address:
Contact Phone:
I hereby acknowledge that I have received notification of the 2022-2023 tuition rates. I understand that re-enrollment fees are non-refundable and that re-enrollment is guaranteed only when payment has been made in full.

Payment Information:

First Name:
Last Name:
Zipcode:
Credit Card Number:
* (Enter number without spaces or dashes)
Expiration Date:
/
CCV Code:
* What's This?
Amount of Payment:
$600.00
 

Not readable? Change text.




Electronic Commerce
Payment gateway integration by Network Strategics