Student Name *

First Name

Last Name

On behalf of my scholar, I accept enrollment to Elevate Learning Institute. *

Accept

Tuition Payment Option *

$155/ Weekly

$625/ Monthly

Hot Lunchbox Option *

By selecting this option, I would like to register my scholar for the HotLunchbox program for the full school year.

I opt-out of the Hot Lunchbox program. I will provide lunch for my scholar.

Date *

MM

DD

YYYY