Phoenix Academic Center Online Registration

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Enrollment Application Fast Form (You will need to fill out a complete form at the center)

Please COMPLETE one application for EACH student you wish to enroll at Phoenix.
Please Note: A non-refundable application fee of $25 for each new student must accompany this application.
All applications are subject to approval by the PAC Board of Directors.
All new families must attend a family interview before registering for classes. APPLICATION FEES are due prior to the family interview.

Email *

Student Name *

Parent or Guardian *

Address *

Cell Phone *

Email *

Childs Gender *

Male

Female

Students Date of Birth *

YYYY

Current Age *

Previous School Information *

Send me a copy of my responses.

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