Atlanta Nepali School Registration Form

Child must be 5 years or older to enroll in school
Registration and payment is due by January 21, 2024
Class starts from January 7, 2024

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Enrollment Date *

Student's name *

First

Last

Student date of birth *

Student home address *

Current school name & grade *

Mother's name *

First

Last

Mother's phone number *

Mother's email address

Father's name *

First

Last

Father's phone number *

Father's email address

Emergency contact person

Emergency contact phone number

Student registration fee of $225.00 per semester (January - May) *

• Will pay in person at school by Cash or Check
• Pay online using Credit Debit Card

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name

Submit