Registration

Step 1 of 5

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Student Info chevron_right

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Parent Info

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Emergency

school

Program

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Consent

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Review

Student Information 17% Complete

Student Information

Fields marked with * are mandatory

First Name *

Last Name *

Date of Birth *

Grade *

School Attending *

Gender *

Parent Information

Fields marked with * are mandatory

First Name *

Last Name *

Email Address *

mail

Phone Number *

phone

Alternate Phone (Optional)

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Emergency Contact

Please provide 3 local emergency contacts. Fields marked with * are mandatory.

Contact 1

First Name *

Last Name *

Relationship *

Phone *

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Email Address *

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Contact 2

First Name *

Last Name *

Relationship *

Phone *

phone

Email Address *

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Contact 3

First Name *

Last Name *

Relationship *

Phone *

phone

Email Address *

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Program Selection

Tailor your child's learning journey by selecting the program, subjects, preferred schedule, and referral information.

1. Select a Program *

Enrichment is available for online registration in MVP 1. Additional programs are coming soon.

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Enrichment

Core curriculum mastery for K–8 students.

Selected

schedule

After-School

Structured homework help and social learning.

Coming Soon

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Summer Camp

Accelerated learning programs during break.

Coming Soon

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Narrative Writing

Creative storytelling and advanced composition skills.

Coming Soon

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Public Speaking

Build confidence and master the art of communication.

Coming Soon

2. Choose Subjects *

Select one or more subjects.

Loading active subjects...

3. Preferred Schedule *

Select up to 3 preferred schedules. Schedule preferences are not guaranteed.

Loading available schedules...

4. Referral Source *

How did you hear about us?

Referral Name *

Please provide the full name of the parent or student who referred you so we can thank the correct person.

How did you hear about us? *

Consent

Please review the required documents below. Fields marked with * are mandatory.

Privacy Policy

I have reviewed and agree to the Privacy Policy *

Accepted By Name *

This name is prefilled from Parent Info and can be edited if needed.

I have reviewed and agree to the Terms & Conditions *

Accepted By Name *

This value stays synchronized with the Privacy Policy acceptance name.

Review & Submit

Review each section, make corrections if needed, then certify and complete the registration request.

I certify that the information provided is accurate and complete. *

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Firebase Data Flow Test Mode

This version calls the existing createRegistration callable function and reads active school options from schoolMaster and active grade options from gradeMaster. Student Info, Parent Info, Emergency Contact, Program Selection, Consent, and Review certification values are collected from the form. Program subjects, schedule preferences, and referral source values are read from Firestore master data and submitted through the existing createRegistration contract.

View generated test payload after submit attempt