Registration

To enroll one or more students in West River Academy, please fill out the form below and click "submit." A confirmation of enrollment document will be emailedl to the email address you provide. Or, you can click here to open the Printable Registration Form and mail it to the address at the top of the form. If you cannot print this form out, you may write the information on a sheet of paper.

In order to pay the registration and enrollment fees, please click here to pay securely online or click here to pay with check or money order.

Thank you.

Family Information
Parent's Names
Street
date
City
State/Province
Zip/Postal Code
Country
Home Phone
Mobile Phone
Email Address
language

Student Information
Please list the name, birth date and gender of each student you are enrolling in West River Academy . If the school records of any student need to be obtained from the school previously attended, please fill out the Record Request Form and submit it separately from this Registration Form. The records will be kept on file at West River Academy until the student(s) leave the Academy.

Student
Gender
Date of Birth
Student
Gender
Date of Birth
Student
Gender
Date of Birth
Student
Gender
Date of Birth
Student
Gender
Date of Birth

School year: August 1,
to July 31,

id
Are you submitting a Certificate of Immunization for each child listed above?
If no, what is your reason?
Will you be paying the enrollment fee of $325 per family online by credit card or by mailing a check/money order?

Credit card online

Check/money order by mail
Will you be paying the New Student fee of $50 per student by credit card online or by mailing a check/money order?

Credit card online

Check/money order by mail

Registration

Family Information

Student Information

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