2018-2019 Registration Form

Complete and submit one form per student.
Then come to APAC to finalize registration/pay during office hours.

Call 325-437-2486 for hours.

Student/Guardian Information
Returning Student *
Student Gender *
Student Date of Birth *
Student Date of Birth
Student Name *
Student Name
Any legal guardians responsible for the student
Address *
Address
Where student currently resides
Parent/Guardian Phone *
Parent/Guardian Phone
Primary Number
Type *
Parent/Guardian Phone
Parent/Guardian Phone
Secondary number
Type
Emergency Contact *
Emergency Contact
Must not live with student
Emergency Contact Phone *
Emergency Contact Phone
Classes *
Classes listed below remain open to enrollment. All other classes have closed for this 18-19 season.