Name of Student
*
First Name
Last Name
Name of Parent
*
First Name
Last Name
Email of Parent
*
example@example.com
Payment Option
*
One Tuition payment: due August 7, 2021 (Students receive two school uniforms at no cost for payments made by August 2, 2019)
Two equal Tuition payments: due August 7, 2020 and January 13, 2021
Four equal Tuition payments: due August 7, 2020, October 7, 2020, January 13, 2021, and March 9, 2021
Reservation Payment through
*
Brent Cashier
Bank Transfer
Online Credit Card
Billing Address (if address has changed)
Tuition Fee to be Paid By
*
Parent
Company
Company Name
*
Contact Person
*
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Signature
*
Submit
Should be Empty: