1. { binding displayValue, mode=oneTime }
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You will receive a confirmation email and a copy of your application at this address.

Parent/Guardian Information

Please add legal parents or guardian for your student here. Click on +Add Parent/Guardian to add all parents involved.

Parent/Guardian {binding ItemNumber}

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This number can be a mobile or landline.
Will you be the primary contact?
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{{ Cognito.resources['field-repeatingsection-add-link-text'] + " " + "Parent/Guardian" }}
{# pageNumbers}
Select Country
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Time Zone
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Best Time to Call
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{# pageNumbers}

Student Infomation

If you have multiple children to register, click +Student to Enroll.

Student {binding ItemNumber}

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Gender
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Does your child prefer to go by a nickname?
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Include the grade level that your student is currently in.
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This will be the next grade level from the grade level that your student is in currently.
Please select the subjects to enroll:
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Art is a NON-LIVE Class

Art Class Payment Type
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Art Preferred Payment Plan
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Down Payment Required: $100.00
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Bible is a NON-LIVE Class

Bible Class (1-8) Payment Type
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Bible Class (1-8) Preferred Payment Plan
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Down Payment Required: $100.00
Bible Class High School Payment Type
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Bible Class High School Preferred Payment Plan
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Down Payment Required: $120.00
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In order to take Game Programming, you must first complete the Windows Programming.

Computer & Programming is a NON-LIVE Class

You have selected Windows Programming. You will only be invoiced for the first part of the Computer Programming course and once Windows Programming is completed, you will be involved the Game Programming course. If you wish to pay for both at the same time, please select below:

Would you like to be invoiced for both?
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Windows or Gamer Programming Class Payment Type
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Windows or Gamer Programming Class Preferred Payment Plan
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Down Payment Required: $130.00
Windows & Gamer Programming Class Payment Type
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Windows & Gamer Programming Class Preferred Payment Plan
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Down Payment Required: $260.00
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Geography is a NON-LIVE Class

Geography & US History Class Payment Type
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Geography & US History Class Payment Plan
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Down Payment Required: $130.00
If a Live Class is offered, would you be interested in enrolling?
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The additional tuition cost is $300 for the entire year and may be broken up into your selected payment method.
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Program Type
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Select Payment Type
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Preferred Payment Plan
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Select Payment Type
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Preferred Payment Plan
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Program Type
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Select Payment Type
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Preferred Payment Plan
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Down Payment Required: $80.00
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Program Type
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Select Payment Type
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Preferred Payment Plan
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Down Payment Required: $150.00
Select Payment Type
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Preferred Payment Plan
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Down Payment Required: $180.00
Select Payment Type
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Preferred Payment Plan
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Down Payment Required: $170.00
Select Payment Type
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Preferred Payment Plan
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Down Payment Required: $160.00
Select Payment Type
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Preferred Payment Plan
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Down Payment Required: $180.00
If a Live Class is offered, would you be interested in enrolling?
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The additional tuition cost is $300 for the entire year and may be broken up into your selected payment method.
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Before we place your student, we may need to do a reading assessment. We will be in touch to discuss this further.
Program Type
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Select Payment Type
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Preferred Payment Plan
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Before we place your student, we may need to do a math assessment. We will be in touch to discuss this further.
Program Type
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Select Payment Type
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Preferred Payment Plan
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Select Payment Type
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Preferred Payment Plan
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Select Payment Type
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Preferred Payment Plan
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Program Type
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Select Payment Type
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Preferred Payment Plan
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Down Payment Required: $120.00
Select Payment Type
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Preferred Payment Plan
{ binding firstError.message }
Down Payment Required: $160.00
Select Payment Type
{ binding firstError.message }
Preferred Payment Plan
{ binding firstError.message }
Down Payment Required: $120.00
If a Live Class is offered, would you be interested in enrolling?
{ binding firstError.message }
The additional tuition cost is $300 for the entire year and may be broken up into your selected payment method.
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Program Type
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Select Payment Type
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Preferred Payment Plan
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Leave blank if there are no needs.
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{{ Cognito.resources['field-repeatingsection-add-link-text'] + " " + "Student" }}
{# pageNumbers}
How did you hear about us?
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Leave blank is you do not have a discount code.
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Apply for Scholarship?
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Please provide us with what your budget would be to afford per month for your student(s) tuition. We want to accommodate everyone as much as possible.

Please keep in mind that there are no guarantee's that a scholarship will be available as everything is based on First Come, First Serve and open availablilty.

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We will require this document for our Review Board to determine the approval of your Scholarship. You may attach it now or submit it to our finance department upon request. We cannot approve scholarship requests without this document.
{# pageNumbers}

All invoices for tuition payments are accepted using Electronic Funds Transfer (EFT) through our billing system Bill.com. This option allows us to keep our tuition rates low and not add additional fees for using debit or credit cards. This system is secured and information is not shared with our school. You will have your own personal profile to log in and make payments. Fees are due before the first day of class. A $10 one time non-refundable application fee, per student enrolling is required to be paid with this application. Visa, Mastercard, Discover and American Express are the only forms of payment accepted for the application fee.

{~ Payment_Block_Label}

{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{binding Name}:{binding displayValue}---
{{ Cognito.resources['payment-amount-due'] + ":" }} {binding displayValue}
{# pageNumbers}

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}
{{ Cognito.resources['order-date-label'] }}: {binding displayValue}
{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}
{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{binding Name}:{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:{binding displayValue}

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}
{{ Cognito.resources['order-date-label'] }}: {binding displayValue}
{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}
{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{binding Name}:{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:{binding displayValue}
Submitter's Name
{binding displayValue}
Submitter's Email Address
{binding displayValue}

Parent/Guardian Information

Please add legal parents or guardian for your student here. Click on +Add Parent/Guardian to add all parents involved.

Parent/Guardian {binding ItemNumber}

Parent/Guardian Name
{binding displayValue}
Date of Birth
{binding displayValue}
Best Contact Number
{binding displayValue}
Will you be the primary contact?
{binding displayValue}
Email Address
{binding displayValue}
Relationship to Student
{binding displayValue}
Computer Operating System
{binding displayValue}
{ binding firstError.message }
Select Country
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Time Zone
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Best Time to Call
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Address
{binding displayValue}
Address
{binding displayValue}
What is your current religious background?(We do not discriminate against any religion and we welcome everyone to our school)

Student Infomation

If you have multiple children to register, click +Student to Enroll.

Student {binding ItemNumber}

Student's Legal Name
{binding displayValue}
Gender
{binding displayValue}
Student's Date of Birth
{binding displayValue}
Does your child prefer to go by a nickname?
{binding displayValue}
What is the nickname?
{binding displayValue}
Highest Completed Grade
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Enrolling Grade
{binding displayValue}
Please select the subjects to enroll:
{binding displayValue}
Art
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Art is a NON-LIVE Class

Art Class Payment Type
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Art Preferred Payment Plan
{binding displayValue}
Bible
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Bible is a NON-LIVE Class

Bible Class (1-8) Payment Type
{binding displayValue}
Bible Class (1-8) Preferred Payment Plan
{binding displayValue}
Bible Class High School Payment Type
{binding displayValue}
Bible Class High School Preferred Payment Plan
{binding displayValue}
Computer Programming (High School Only)
{binding displayValue}

Computer & Programming is a NON-LIVE Class

You have selected Windows Programming. You will only be invoiced for the first part of the Computer Programming course and once Windows Programming is completed, you will be involved the Game Programming course. If you wish to pay for both at the same time, please select below:

Would you like to be invoiced for both?
{binding displayValue}
Windows or Gamer Programming Class Payment Type
{binding displayValue}
Windows or Gamer Programming Class Preferred Payment Plan
{binding displayValue}
Windows & Gamer Programming Class Payment Type
{binding displayValue}
Windows & Gamer Programming Class Preferred Payment Plan
{binding displayValue}
Geography
{binding displayValue}

Geography is a NON-LIVE Class

Geography & US History Class Payment Type
{binding displayValue}
Geography & US History Class Payment Plan
{binding displayValue}
If a Live Class is offered, would you be interested in enrolling?
{binding displayValue}
Grammar
{binding displayValue}
Program Type
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Handwriting
{binding displayValue}
Program Type
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
History
{binding displayValue}
Program Type
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
If a Live Class is offered, would you be interested in enrolling?
{binding displayValue}
Literature or Phonics
{binding displayValue}
Program Type
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Saxon Math
{binding displayValue}
Program Type
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Science
{binding displayValue}
Program Type
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
If a Live Class is offered, would you be interested in enrolling?
{binding displayValue}
Spanish
{binding displayValue}
Program Type
{binding displayValue}
Select Payment Type
{binding displayValue}
Preferred Payment Plan
{binding displayValue}
Operating System
{binding displayValue}
Last 4 of Social Security Number
{binding displayValue}
Last Level of Math Taken
{binding displayValue}
Student's hobbies or interests:
What motivates your child?
Current Type of School
{binding displayValue}
Student Needs
{binding displayValue}
Please provide a brief explanation about this student need.
{ binding firstError.message }
How did you hear about us?
{binding displayValue}
Enter COUPON Code for Special Discount:
{binding displayValue}
Name of who referred you?
{binding displayValue}
E-mail address of the person who referred you
{binding displayValue}
Apply for Scholarship?
{binding displayValue}
What is your ideal monthly budget?
{binding displayValue}

Please keep in mind that there are no guarantee's that a scholarship will be available as everything is based on First Come, First Serve and open availablilty.

Please provide us with a brief statement of your current situation and how we can help.
Attach 2016 Tax Return Here
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{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

All invoices for tuition payments are accepted using Electronic Funds Transfer (EFT) through our billing system Bill.com. This option allows us to keep our tuition rates low and not add additional fees for using debit or credit cards. This system is secured and information is not shared with our school. You will have your own personal profile to log in and make payments. Fees are due before the first day of class. A $10 one time non-refundable application fee, per student enrolling is required to be paid with this application. Visa, Mastercard, Discover and American Express are the only forms of payment accepted for the application fee.