HIGHSCHOOL REGISTRATION

High School SPRING Semester
2021
Registration Form

Start Date: 1/26/21
Time: 3:00 pm - 6:00 pm

Cost per semester
$600.00

Laser Charter: $400.00
Tera: $200.00

Class + Laser Charter: $1000.00
Class + Tera Charter: $800.00

* Indicates required field

School *

Charter *

Laser Tera

Student's Name *

First

Last

Experience *

Parent's Name *

First

Last

Grade *

Age *

Student's Email *

Other Sports / Commitments *

Parent's Email *

Dates Unavailable *

Student's Phone Number *

Parent's Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Comment *

Submit