Individual Registration

Please Complete Form Below To Process Registration For:
School Closed - Summer Break

(Please Note: A $475 Non-Refundable Registration
Deposit Is Required To Get Started)

First Name *

Last Name *

Date Of Birth *

Address *

Address 2

City *

State *

Zip *

Phone

Cell *

Email *

Emergency
Contact *

Emergency Contact Phone *

Name Of High School *

Graduation Year *

Date Of GED

How Did You Hear About Us *

Online

Social Media

Personal Referral

Other

Captcha*