Download Download and Print the PDF Version of the Application for:   2016-17  
   Online Registration for Academy Programs

STUDENT INFORMATION

First Name   Home Phone Number
Last Name   Student Phone Number  
Address   E-mail    
City   Date of Birth      
Country Sex  
State/Province
Zip Code  

How did you hear about us?:
 




ACADEMIC INFORMATION

Entry Grade  
Present School   City  




PARENT/GUARDIAN INFORMATION

 

  PARENT/GUARDIAN 1 Same as applicant PARENT/GUARDIAN 2 Same as applicant
Last name Last name
First name First name
Address Address
City City
State/Province State/Province
Country Country
Postal Code/Zip Postal Code/Zip
Home Phone Home Phone
Business Phone Business Phone
Cell Phone Cell Phone
Fax Fax
Email   Email  




PRIMARY CONTACT:
 
STUDENT RESIDES WITH:
 
LEGAL GUARDIAN INFORMATION
If parents are separated/divorced, which parent is the legal guardian of the applicant?