Re-Registration Online Form

Family Name REQUIRED Please fill out this field. Please enter valid data.

Student's Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Student Lives With: REQUIRED Mother Father Both Please fill out this field.

Other, Please Explain: Please enter valid data.

Secondary Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Mother's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Mother's Occupation REQUIRED Please fill out this field. Please enter valid data.

Mother's Place of Work REQUIRED Please fill out this field. Please enter valid data.

Father's Phone Number REQUIRED Please fill out this field. Please enter valid data.

Father's Occupation Please enter valid data.

Father's Place of Work Please enter valid data.

Preferred Email REQUIRED Please fill out this field. Please enter an email address.

Secondary Email Please enter an email address.

Please let us know who you are re-registering. Please add new student registrations here as well.

Registration Fee Per Family150.0