SOAR Application for WCA Student

Current Grade*
Date to Begin*
MM slash DD slash YYYY
Student Information
Name*
First Last
Middle Name*
Nickname*
Student's Address*
Street Address City State ZIP Code
Phone*
Date of Birth*
MM slash DD slash YYYY
Age*
Gender*
- Male
- Female
Parents' Names*
Email
Payment Plan
Payment*
- 1 payment of $960 due on September 1
- 9 payments of $110 due monthly on the 1st, September through May
By signing, I/we agree to pay all tuition and fees in accordance with the selected payment plan.*
Note
We will make up any sessions that are missed due to school weather cancellations.
For Office Use Only
Accepted/Start Date Denied Date Enrollement Fee Amount $60 Date Paid Check #

Student Information