REGISTRATION Middle School Club

2024 -25 Middle School Club Registration Form

Upon submission of this registration form, you are agree to enrolled in 2024-2025 Champion After School Middle School Club. Please read the Champion After School policy carefully.

*Please fill out this form for your children one at a time.
*Submission of this form doesn't guarantee successful enrollment. We will notify you any updates: confirmation/cancellation

Class Tuition:

Public Speech: Semester 1 - $244 Semester 2 - $338 Full Payment - $565
English Writing: Semester 1 - $300 Semester 2 - $413 Full Payment - $692
Coding: Semester 1 - $263 Semester 2 - $375 Full Payment - $619
Spanish 1: Semester 1 - $581 Semester 2 - $806 Full Payment - $1345

If you register for a course that lasts 3 days or more, you can receive special rate.

* INDICATES REQUIRED FIELD

* Indicates required field

Student's Name *

First

Last

2024 Fall School Name *

Date of Birth *

Grade in Fall 2024 *

Gender *

Male Female

School Calendar *

Please Choose the Class *

Transportation *

State Date *

Payment Method *

Mother's Name *

First

Last

Mother's Email *

Mother's Phone Number *

Emergency Contact (If Parents Cannot Be Reached) *

First

Last

Emergency Phone Number *

Fathe's Name *

First

Last

Father's Email *

Father's Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Submit