C2C Academy Enrollment Form

Welcome to C2C Academy! 

We are thrilled to have you join our community dedicated to academic excellence for aspiring athletes. 

This form is dedicated to collecting all necessary enrollment information as well as outlining the C2C Academy Code of Conduct and Classroom Rules & Procedures, as well as setting up monthly recurring payments for your child's tuition.

C2C Academy Pricing:

  • $550 / month per student
  • August: PRORATED for number of school days
  • September 1st- May 1st:  $550 per month

Please fill out and agree to the following parent and student information form and set up payment to secure your spot as a C2C Academy student.


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Email *
Student's FIRST name: *
Student's LAST name: *
Student's Date of Birth (MM-DD-YYYY):
*
MM
/
DD
/
YYYY
Student's Grade Level for 2025 - 2026 School Year: *
Second Student's FIRST name: (If applicable)
Second Student's LAST name: (If applicable)
Student's Date of Birth (MM-DD-YYYY): (If applicable)
Student's Grade Level for 2025 - 2026 School Year: (If applicable)
List any MEDICATIONS, MEDICAL CONDITIONS, ALLERGIES (seasonal and/or food) that we should be aware of regarding your child(ren): 
*
Parent/Guardian's FIRST and LAST name: *
Secondary Email: (N/A if you don't wish to provide one) *
Parent/Guardian's Contact Number (XXX) XXX-XXXX: *
Emergency Contact Name & Number (XXX) XXX-XXXX: *
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