Berkeley² Academy - Berkeley² Academy Pre-Registration Form

Berkeley² Academy Pre-Registration Form

This form is for NEW FAMILIES only!

If you are an existing or returning family, please contact your branch directly or fill out our Returning Families Form(https://www.berkeley2academy.com/returning-families), and we'd be happy to assist you!

New families! Once you complete this form, our admin team will reach out to you during our office hours to discuss your program and payment details and finalize your registration.

*Required fields

PARENT INFORMATION

*Parent's First Name

*Parent's Last Name

*Parent's Email

*Parent's Mobile Phone

*Zip code

*I agree to receive emails from Berkeley2 Academy about college admission news and tips, free college admissions webinars, and upcoming registrations.

STUDENT INFORMATION (If registering more than one child, please fill out the form for each child by clicking "Add Student" down below.)

*Student's First Name & Middle Initial (e.g. John S.)

*Student's Last Name

*Student's Email (Gmail)

*Current School

*Grade Level

*Expected Year of HS Graduation:

*What program(s) are you interested in?

*Which location(s) would best serve you? NW Austin (Research Blvd.)

Plano/Frisco (Preston Rd.)

Westlake (Bee Caves Rd.)

Remote/Online

*Would you like to schedule a complimentary 30 minute college admission consultation with our Director?

Questions/Comments (Please also inform us if your student needs 504 accommodations)

How did you hear about us?

Name of the student of the parent who referred you:

Thank you, and we look forward to helping your student succeed! — Your B2A Team ❤️

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