CyberSchool

Student Registration

Please note that all students require an email address. The email address is for student specific information. If you need a free email address, you can get one via www.gmail.com. Please make sure you have this ready before you start the registration process. Please submit ONE form per student. If you are registering more than one student, please register each student separately, one after the other.

First Name *

Last Name *

Student's Email Address *

Date of birth *

(Please write date in "yyyy-mm-dd" format as "2011-01-21")

Country * (Please start typing your Country, and then select from the list.)

Province/State * (Please start typing your State/Province, and then select from the list.)

City * (Please start typing your City, and then select from the list.)

Gender *

MaleFemale

Student Cellphone *

Educational Information

Highest Grade Completed *

Name of Most Recent School *

Year & Month Completed *

(Please write date in "yyyy-mm-dd" format as "2011-01-21")

Date of Commencement with Cyber School *

(Please write date in "yyyy-mm-dd" format as "2011-01-21")

Parent/Guardian Information

Name of Responsible Parent/Guardian *

Physical Address *

Parent's Cellphone *

Relationship To Student *

Parent's Email Address * (To specify multiple addresses, separate the addresses with a COMMA and no spaces)

Responsible Parents ID/Passport Number*

How did you hear about us?*

I have read and accept the terms and conditions of registration. Please complete the registration process by clicking "Register Now".