GGEC Academy Virtual Homeschool

Please complete the form below to enroll in and pay tuition for Grades 6-12 Plan A.  Tuition in the amount of $4,500 for the full year is due by September 1, 2020.  Tuition includes a non-refundable/non-transferable application fee of $250.  

Note:  you can enroll and pay for up to 4 students on one enrollment form.  You must complete a separate enrollment form if you wish to enroll and pay for more than 4 students.

Are you enrolling more than one student? *

• Yes
• No

If more than 1, how many students are you enrolling?

• 2
• 3
• 4

Parent/Guardian Information

Parent/Guardian *

First

Last

Parent/Guardian's email *

Email

Confirm Email

Parent/Guardian's mailing address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Parent/Guardian's mobile number *

Including area code

Parent/Guardian's work number

Including area code

Parent/Guardian's occupation *

Student Information

Student's name *

First

Middle

Last

Student's email

Email

Confirm Email

example@example.com

Student's mailing address (if different from parent's)

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Student's date of birth *

Format: mm/dd/yyyy

Student's gender *MaleFemalePrefer not to identify

Click dropdown arrow to select gender.

Student's previous school district/school *

Student's grade level for 2020-21 school year *

Student 2

2nd Student's name *

First

Middle

Last

2nd Student's email

Email

Confirm Email

example@example.com

2nd Student's mailing address (if different from parent's)

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

2nd Student's date of birth *

Format: mm/dd/yyyy

2nd Student's gender *MaleFemalePrefer not to identify

Click dropdown arrow to select gender.

2nd Student's previous school district/school *

2nd Student's grade level for 2020-21 school year *

Student 3

3rd Student's name *

First

Middle

Last

3rd Student's email

Email

Confirm Email

example@example.com

3rd Student's mailing address (if different from parent's)

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

3rd Student's date of birth *

Format: mm/dd/yyyy

3rd Student's gender *MaleFemalePrefer not to identify

Click dropdown arrow to select gender.

3rd Student's previous school district/school *

3rd Student's grade level for 2020-21 school year *

Student 4

4th Student's name *

First

Middle

Last

4th Student's email

Email

Confirm Email

example@example.com

4th Student's mailing address (if different from parent's)

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

4th Student's date of birth *

Format: mm/dd/yyyy

4th Student's gender *MaleFemalePrefer not to identify

Click dropdown arrow to select gender.

4th Student's previous school district/school *

4th Student's grade level for 2020-21 school year *

Choose the correct tuition amount based on the number of students you are enrolling. *One student - $ 4,500.00Two students - $ 9,000.00Three students - $ 13,500.00Four students - $ 18,000.00

Credit Card Information *

Card

Name on Card

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