Malibu Cove enroll | Seascape Private Sch

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MALIBU COVE HIGH SCHOOL

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S E A S C A P E P R I V A T E S C H O O L

Enrollment Form

Student's First Name

M

Student's Last Name

Mailing Address

City

Postal Code

Phone

If yes, what grades?

(check all that apply)

Public School :

K

1

2

3

4

5

6

7

8

9

10

11

12

Private School :

K

1

2

3

4

5

6

7

8

9

10

11

12

Student Gender

Student Entering Grade Level

Student Date of Birth

Is the student enrolling in the MCHS Accelerated program?

Is the student enrolling in the MCHS Curriculum only program?

Starting date with Malibu Cove?

Name of school currently or last attended:

School email to request records

School address:

City

Postal Code

Father's First Name

Father's Last Name

Mailing Address

Email (e.g. invoicing,progress reports)

City

Postal Code

Employer

Work Phone

Mother's First Name

Mother's Last Name

Address

Email (e.g. invoicing,progress reports)

City

Postal Code

Employer

Work Phone

Brothers or Sisters? - Name(s)

Does the student have any health concerns?

If yes, please specify:

Who will be the Teacher?

First and Last Name

Relation to Student

Highest Level of Education Achieved?

Customizable Curriculum Form

To help speed up the enrollment process, please let us know what subjects your student has already taken in high school.

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Other, please specify:

Foreign Language (please specify)

Is there a subject not listed that you would like your student to learn?

What special interests does your student have?

What main goal would you like to see your student reach this year?

I agree to the terms & conditions

I, the undersigned, have read, and hereby accept the information contained in the SeaScape Educational Center's online brochure, including the refund policy stated on the "Admissions" page, and agree to its terms. I also understand that Malibu Cove High School's programs are considered a "full curriculum package" which includes tuition, and sold as such. If I, the undersigned, choose to pay the program in monthly installments instead of in full, all payment obligations must be met before I will receive any of the following: Transcripts, diplomas or graduating to the next grade level. Please note: After the initial 15 day refund period, the program is due and payable either in monthly installments or in full. Please be advised; if paying in installments, this contract is binding. If, for any unforeseen reason, you should choose to withdraw from the course, the remaining program fee will be due upon withdrawal notice.

Parent or Legal Guardian Signature

Date

Select an item ($)

GRADES 9-12, Pay in Full (*Includes 3% Processing Fee) - $1.00

GRADES 9-12, 9 Mo. Payment Plan (*Includes 3% Processing Fee) - $345.00

ACCELERATED PROGRAM, Pay in Full (*Includes 3* Processing Fee) - $1442.00

ACCELERATED PROGRAM, 9 Mo. Payment Plan (*Includes 3* Processing Fee) - $397.00

Thanks for submitting!

Email: Info@seascapecenter.com

©2023 by Seascape Private School

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