Name *

First Name

Last Name

Phone *

(###)

###

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If a full scholarship is not available, would you be interested in a partial scholarship that covers 50% of tuition? *

Your cost would be $320 for one child for the semester.

Yes I can afford to pay $320 and would like to be considered for a partial scholarship.

No, I can only register if I have a full scholarship, $64 is all I can afford at this time.