Part-time Student, Credit Recovery, or Summer School Registration

Do not register until you first check with your school to make sure they will accept WCA course credit! Print the PDF school approval form. Course tuition is due at the time of registration and is non-refundable. Your registration will not be processed without paying the course tuition on the second screen! If you would prefer to call in your payment information, do not use the form below! We will take your registration information over the phone when you call in your payment information! You can call in your registration and payment information at 800-868-5839 (Mon-Fri 8am-4pm PST).

APPLICATION TYPE

Application Type *

STUDENT INFORMATION:

Student Full Legal Name: *

Gender: *

Male
Female

Student Date of Birth: *//

Course Grade Level: *

SCHOOL TO RECEIVE CREDIT:

Current School Name: *

School City and State: *

School Phone: *

COURSE(S):

Number of Semester Courses: *

Semester Course Title(s): *

To see the course list in a new tab click here.

Number of Full-year 2 Semester Courses: *

Full-year 2 Semester Course Titles(s): *

Estimated Course Start Date: *

PARENT INFORMATION:

Parent Name *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email- primary not junk account: *

Confirm Email

Primary Telephone Contact: *

Referred By *

SIGNATURE:

SIGNATURE: I have reviewed the Terms and Conditions. Must be accepted to submit.

By entering my name in the Signature box, I verify the information entered is correct.

Parent Signature: *

Signature Date: *

The course tuition for your course(s) can be paid on the next screen.

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Message

Part-time Student, Credit Recovery, or Summer School Registration

APPLICATION TYPE

STUDENT INFORMATION:

SCHOOL TO RECEIVE CREDIT:

COURSE(S):

PARENT INFORMATION:

SIGNATURE:

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