Registration

Registration begins NOW!

Please review our Fees & Policies information.

Due to the popularity of our programs, we will NOT process registration and reserve a spot in a class UNTIL a form of the tuition is received in our office.
Check payment only: Please mail to:
Mill Creek Academy, 6081 Meridian Avenue Ste 70 #325, San Jose, CA 95120

Student Name*
First Last
Student Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone*
Student Status*
- New
- Returning
School*
Student's Grade Level in September 2023*
Parent #1 Name*
First Last
Parent #1 Cell Phone*
Parent #1 Email*
Parent #2 Name
First Last
Parent #2 Cell Phone
Parent #2 Email
Session*
- Fall Session
- Winter Session
- Spring Session
- Summer Session
Course #1 Title*
Course #1 Number (see schedule)*
Course #1 Tuition*
Course #2 Title
Course #2 Number (see schedule)
Course #2 Tuition
Course #3 Title
Course #3 Number (see schedule)
Course #3 Tuition
Tuition Policy*
- By checking this box I confirm that I have read the tuition policy
Tuition Total*
Payment Method*
- I will mail a check payment.
Comments or Questions
Name
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