SAEP 2010 Registration

To begin registration, please choose from the following:

I have registered online in the past

I have never registered online

Your Information

Personal Information

*	First Name:
*	Last Name:
*	Relationship to student:
*	Address:

*	City:
*	State:
*	Zip Code:
*	Home Phone:
	Work Phone:
	Cell Phone:
*	Email Address:

Emergency Contact Information

*	Emergency Contact Name:	Alternate name - you will be the first one we contact.
*	Emergency Contact Relationship:
*	Emergency Contact Phone:

Helpful Information

*	Carpool?	No Yes We are going to compile a list a parents who are interested in carpooling. If you select "yes", we will email you the names and phone numbers of other parents from the same zip code. We will not publish addresses- that will be up to you to give out that information. Select "yes" if you are interested.
	How did you hear about SAEP?

Student Information

Personal Information

*	First Name:
*	Last Name:
	Middle Name:
*	Birth Date:	mm/dd/yyyy
*	Gender:	M F

Program/Course Information

Select the grade this student will be in next fall

	Program:
	Absent Dates:	Please specify dates you plan to miss due to vacations or other obligations.
	Send Transcript:	Do you want your grades sent to the school you will attend in Fall? No Yes
*	Current School:
	School Next Fall:	(Leave blank if same as current school)

Add another student to this registration form

Registration Summary

Registration Total: $0.00

Please carefully review the information you provided for yourself and your student(s) before submitting this registration form.

You have two choices for payment method - online with a credit card through PayPal or by mailing in a check. If you choose the option below to pay online now using PayPal but change your mind after submitting this form, do not reregister, simply mail us a check.

Comments or Questions:

Payment Method:
Online at PayPal
Check by Mail

I understand the following:

Enrollment is not complete until payment and both pages of the release form are received for my student(s)
Teacher requests cannot be honored. Due to the logistics of scheduling, students may be moved into different teacher's classes or periods.
Academic program class closure policy: if not enough students sign up for a class, SAEP will close it in a timely manner and issue a full refund.
Enrichment Program class closure policy: if a class closes either because of too many, or too few students, I will be asked to chose an alternate Enrichment course. No refund will be given.

Clear this form and start over