Academic Year Registration Form

Academic Year Registration: This registration form is to enroll your child in our academic year, after-school running from August 2024 through May 2025. Classes will begin on Thursday, August 15th. Please note classes will not occur academic holidays; a list of these dates will be provided at the start of the year. Classes be every Monday ,Tuesday, Thursday and Saturday

For High School and SAT classes please contact us via Mail curie.atlanta@gmail.com/ Text : (678) 807-9456

Payments: Upon completion of this registration form, you will receive an email with instructions on paying for your choice of program. Please note that your registration is not complete and your child’s class spot in not reserved until the payment is made.

If you are registering multiple students, please complete one form per child

General Information

Student Name

First Name

Last Name

Student Grade

Parent/Guardian Name

First Name

Last Name

Add'l Parent/Guardian Name

Optional

First Name

Last Name

Email Address 1

Email Address 2

Optional

Phone Number 1

(###)

###

####

Phone Number 2

Optional

(###)

###

####

Class Preferences

Academic Courses & Fees

Course Mode Preference

High School (Monday)

6 PM ELA (Grade 6-7)

7 PM ELA (Grade 8 and Above)

ELA Classes (Tuesday)

5:30 PM Elementary

6:45 PM Middle

MATH Class (Thursday)

5:30 PM Elementary

6:45 PM Middle

Saturday Class Preferred Time*

9:30 AM

10:30 AM

11:30 AM

Academic Year Registration Form

Curie Learning Atlanta