Re-Enrollment Form

This form is designed to be completed by those who are currently enrolled in our program and wish to extend that enrollment for another year. Once you have completed this form, please go to the Pay Online page to submit your re-enrollment fee.

If you are classified as Record Keeping (you purchase your own books), your re-enrollment fee will be $60. If you are Full Service (you purchase your books through the CHOICE office), your re-enrollment fee will be $25.

Please complete the following information then click "submit".

* Indicates required field

School Year *

Date *

Student Information

Student Name *

First

Last

Last Grade Completed *

Date of Birth *

Current Grade Level *

Family Information

Parent/Guardian Name *

First

Last

Relationship to Student *

If you have signed proctor paperwork, what is the name of the proctor? *

First

Last

Does your child have any special needs? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

County of Residence *

Email *

Primary Phone Number *

Alternate Phone Number *

Submit

Please complete the following information then click "submit".

Student Information

Family Information

Our Services

Forms & Fees

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