Laureates Academy for Gifted Students Appilcation Form - Laureates Academy for Gifted Students

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Academics
Admissions
After School and Camps
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Student Information:

Name *

First

Last

Entry Grade *

Phone Number

Email

Applying to: *

Day School as a Local Student
Day School as an International Student
Math Club
Summer Camp

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Parent/Guardian Information:

Name *

First

Last

Phone Number

Email *

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Representative Information

Is a representative (Lawyer, Attorney, Guardian etc.) filling in the form on your behalf?

Yes
No

Representative's Name *

First

Last

Representative's Phone Number

Representative's Email *

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Payment Information:

Tuition Fee

$0.00

Package *

One Payment ($1000 Discount)
Nine Payments (No Discount)

Package *

One Payment ($250 Discount)
Two Payments (No Discount)

Package *

One Payment

One Payment of:

$0.00

One Payment of:

$0.00

One Payment of:

$0.00

One Payment of:

$0.00

Eight Payments of:

$0.00

One Payment of:

$0.00

Second Payment of:

$0.00

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