Enrollment Agreement

Student Information

Parent or Guardian Information

Parent 1
Parent 2
Home
Mobile
Work
Email Address

Emergency Contact

Emergency Contact
Relationship
Emergency Contact Number(s)

Program, Tuition, & Payment Information

Clear Signature

The *Non-Refundable Mandatory Ten Percent (10%) Deposit must be paid upon the signing of this enrollment agreement, confirming the student’s enrollment for the School Year 2021-2022.

Clear Signature

Consent for Use of Photograph as Promotional Material

Agreement

The *Non-Refundable Mandatory Ten Percent (10%) Deposit must be paid upon the signing of this enrollment agreement, confirming the student’s enrollment for the School Year 2021-2022.

Printed Name of Parent or Guardian
Clear Signature
You may use a mouse or your finger to sign.