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Student Registration Form

Please complete the registration form below to express interest. Our Enrollment Specialist will contact you within 24 hours to schedule an appointment for you to complete an application, submit documents, and enroll. You can also request an application by contacting us at (216)539-7229. Required fields marked with an asterisk(*)

Student Last Name*

Answer Required

Student First Name *

Answer Required

Date of Birth*

Answer Required

Grade Enrolling*

Answer Required

9th

10th

11th

12th

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Guardian Information

Guardian First Name *

Answer Required

Guardian Last Name *

Answer Required

Guardian Email *

Answer Required

Student Email*

Answer Required

Mobile Phone*

Number Required

Secondary Phone*

Number Required

Work Phone

Number Required

Preferred method of contact

Answer Required

Phone

Confirmation Email

Email Required