Please enter the student's first name
Please enter the student's last name
Please enter the first and last name of the student's parent/guardian
Please enter the student's phone number
Please enter the parent/guardian's contact number
Please enter the email address for the parent/guardian
Does the student take any medications? Please list if yes, if no type no.
You may request a roommate (same gender and same grade)
Parents, please not that a $50 deposit is due upon signing up. The total amount due by April 17th is $150 and the remainder is due by May 3rd.