2020-2021 Los Altos Grace Schools Re-enrollment

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Student #1 Name

*

Student #1 Grade

*

Please select one option.

K 1 2 3 4 5 6

Student #2 Name

Student #2 Grade

Please select one option.

K 1 2 3 4 5 6

Student #3 Name

Student #3 Grade

Please select one option.

K 1 2 3 4 5 6

Student #4 Name

Student #4 Grade

Please select one option.

K 1 2 3 4 5 6

Student Registration

1 Student ($250) 2 Students ($500) 3 Students ($750) 4 Students ($1000)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

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