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Enrollment Form

Select your Registration Plan

2100
For 100 Hours

Grades 3 - 8

Annual prepaid Plan

Minimum 8 Hours Per Month

Valid For 12 Months

2625
For 100 Hours

Grades 9 - 12

Annual prepaid Plan

Minimum 8 Hours Per Month

Valid For 12 Months

Student Name School Name Grade School District Eligible For Free Lunch

Communication Details

Parent name Relation E-Mail Phone Address

Registration Plan Summary

Registration Plan No.of Students Scholarship/ Discount Total Fee