Registration Application Please complete the form below. Required fields marked with an asterisk * 2911 San Fernando Rd. Los Angeles, CA 90065 Phone: (323) 344-4330 Registration Application School Year Registering For:Grade EnteringReturning Student or New Student*New StudentReturning StudentStudent InformationFirst Name*Last Name*Middle Name*AddressStreet Address*City*State*Please SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZip/Postal*PhoneStudent Email Address*Gender*MaleFemaleEthnicity*African AmericanAsianCaucasianFilipinoHispanicNative AmericanOtherParent/Guardian #1 InformationFirst Name*Middle NameLast Name*Relationship to Child*Email 1* Email2 Mobile Phone*IF ADDRESS IF DIFFERENT FROM THE STUDENTS PLEASE PROVIDEStreet AddressCityStatePlease SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZip/PostalParent/Guardian #2 InformationFirst Name*Middle NameLast Name*Relationship to Child*Email1* Email2 Mobile Phone*Home PhoneWork PhoneIF ADDRESS IS DIFFERENT FROM BOTH STUDENT & PARENT/GUARDIAN #1 PLEASE PROVIDE.Street AddressCityStatePlease SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZip/PostalTuition Payment Plans1 Payment: Tuition Payment of FULL tuition amount due by August 1st2 Payments: Two (2) Payments of half of Tuition amount due August 1st & February 1st.10 Payments: Ten (10) Payments of your tuition amount divided by 10 due beginning September 1st through June 1stOtherIf your tuition amount is not finalized or discussed yet and your student will need financial aid - please fill out the RITE application in addition to this form. RITE Application By typing my full name and date below I agree to the following terms and condition, which are binding for payment of tuition for one academic year: 1. The registration shall be valid only when signed below by Parent/Guardian and payment of the registration fee has been made. 2. A late fee will be charged each month to all accounts that have current balance due beyond the 10th of the month. 3. A fee will be charged for all checks returned by the bank or invalidated for any reason. 4. FAILURE TO MEET PAYMENT OBLIGATION MAY RESULT IN ADMINSTRATIVE SUSPENSION, EXEMPTION FROM EXAMINATIONS, DISMISSAL, OR WITHHOLDING FOR TRANSCRIPTS. 5. THERE ARE NO REFUNDS OF REGISTRATION OR TUITION PAYMENTS. IF A STUDENT ON A PAYMENT PLAN LEAVES BEFORE SCHOOL FINISHES THE PAYMENTS WILL STILL BE REQUIRED TO CONTINUE. ARBITRATION: All disputes over the terms of this agreement or an incident/accident that occurs on the Ribet campus that cannot be resolved will be submitted to binding arbitration 6. Names, addresses and phone numbers are released to our vendors and families. 7. Ribet student / parent images, likenesses and/or voices may be used for our marketing purposes. Parent/Guardian Signature*Today's Date* Date Format: MM slash DD slash YYYY Confirmation Email CAPTCHA