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**Note that all fields on this form are required to create an account except your middle initial and Address Line 2**

First Name
Middle Initial
Last Name
Email Address
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Must have 8 characters, at least one Upper Case letter, and at least one number.

Address Line 1
City
State
Zip Code
Phone Number
Category
How did you hear about our Study Center?
Please Accept Terms and Conditions: By proceeding with the enrollment and class registration to our Center(s), you accept these conditions. Please read them carefully: ‚Äč *Financially responsible: User agrees to be financially responsible for any unpaid balance on costs, tuitions, and fees incurred with or without using instructional funds from your charter school(s). *Self-provided curriculum: Unless otherwise instructed or noted, user agrees to self provide curriculum or study materials for registered student(s) at our Center(s). *Able to learn and study independently: User agrees that each student registered is able perform self-learning in a quiet environment with minimum supervision and assistance.
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