Membership Checkout

You have selected the One Time Student Enrollment membership level.

The price for membership is $750 now.

Username *

Email Address *

Confirm Email Address *

Password *

Confirm Password *

Student First Name *

Student Middle Name

Student Last Name *

Student Phone Number *

Registering Grade *

Parent First Name *

Parent Middle Name

Parent Last Name *

Parent Phone Number *

Parent Mailing Address *

Parent Email Address *

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