Berkeley² Academy - Berkeley² Academy Online Pre-Registration Form

Berkeley² Academy Online Pre-Registration Form

This form is for new families only!

If you are an existing or returning family wanting to register for a new program, please reach out to your respective branch directly through email 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 registration details including tuition and help you finalize your registration.

If you have any questions, please call or email us at your closest branch:
Northwest Austin: 512-968-7571 ([email protected])
Westlake: 512-347-7575 ([email protected])
Plano: 972-515-0330 ([email protected])

Office hours (school year): 2-9pm Tue - Fri & 9am-6pm Sat
Office hours (summer): 9am-6pm Mon - Fri

*Required fields

PARENT INFORMATION

*Parent's First Name

*Parent's Last Name

*Parent's Email

*Parent's Mobile Phone

Home or Alternate Mobile Phone

Home Address

*City

*State

*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.)

*Today's Date

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

*Student's Last Name

*Student's Email (Gmail)

Student's Mobile Phone

*Current School

Grade Level

*Expected Year of High School Graduation: Class of

*What program are you interested in registering your student for?

If Tutoring, what subject(s) do you need help with?

*Which location(s) are you registering for? NW Austin (Research Blvd.)

Plano/Frisco (Preston Rd.)

Westlake (Bee Caves Rd.)

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

How did you hear about us?

If you heard about us from a previous or current B2A client, please let us know the name of their student!

What is the phone number of the parent that referred you?

Questions/Comments

Please make note of anything else you believe it's important we know (this can include things such as 504 accommodations)

Please review your form and make sure you've completed all required fields.

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Add Fields for Additional Student