New Student Registration

As the parent or guardian of the student below, I confirm our interest in AdLife Academy for the 2024-2025 academic year.

Parent Name*

Parent Email*

Name of Student*

Grade Level for 2024-2025 School Year*

AdLife Academy Location*

Additional comments, questions, or concerns?

By checking this box, I agree to submit monthly purchase orders to vendor Home School Coaches to cover AdLife Academy Program Fees.

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Email*

(626) 209-9411

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