AK Grad Registration Form - Purchase Orders/Cash
Please fill out all applicable fields. The Supervising Instructor will receive a confirmation email after the form is submitted.
STUDENT INFORMATION
Student Name (First & Last)
Your answer
Student Email Address
Your answer
Student Mailing Address (If Books Are Needed)
Your answer
Student Telephone Number
Your answer
SUPERVISING INSTRUCTOR/SCHOOL DISTRICT INFORMATION
Supervising Instructor Name (First & Last)
Your answer
Supervising Instructor Email Address
Your answer
Supervising Instructor Phone Number
Your answer
School District or Sponsoring Organization
Your answer
School District or Sponsoring Organization Address
Your answer
PARENT OR GUARDIAN CONTACT INFORMATION
Parent/Guardian Name (First & Last)
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Phone Number
Your answer
COURSE AND TEXTBOOK INFORMATION
AK Grad Credit Recovery Courses are $50 per quarter credit, and textbooks are $70 each. AK Grad Online Courses do not have textbooks (with a few exceptions), those courses are $100 per semester.
Courses and Textbooks Needed
Your answer
PURCHASE ORDER/CASH PAYMENT INFORMATION
If you are paying with a purchase order, please email it to me (akgrad@yksd.com).

If you are paying with cash, please upload a document that contains the name of the student the courses are for. Also, please include the total cost of the cash payment you'll be mailing.

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