2020-2021 Pre-enrollment Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Assalamu Alaikum;

Dear Parents;

Pre-registration for current RSA students is now open;
• Pre-registration will run until July 1st..
• Priority is given to our current students and their siblings
• Sibling registration is now available
• Current student pre-registration fee is $100
• New applicant and sibling registration fee is $100
• If you pre-register after the deadline the fee will be $100 and there is no guarantee of a seat
**Please note that your child will only be preregistered upon receiving complete registration form and payment.

Student's Full Name *

1. What is the current grade level of your child? (for multiple children you may submit multiple forms) *

Date of Birth *

YYYY

Gender *

Male

Female

Home Address *

Parent 1 Name *

Parent 1 Cell Phone *

Parent 1 Email *

Parent 2 Name *

Parent 2 Cell Phone *

Parent 2 Email *

My child's enrollment status at RSA: *

My Child will attend RSA in 2020-2021 school year

My child will NOT attend RSA in 2020-2021 school year

Other:

Payment: *

$100

Payment Method: *

Check mailed to school

Credit card: Click here to submit fee : https://app.autobooks.co/pay/rising-star-academy

Venmo: Rising-Star-2

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Rising Star Academy. Report Abuse

Forms