*
Required
Please use the form below to submit your online application payment(s). Questions? Contact Soraya El-Baz at
soraya.elbaz@providenceday.org
or 704-887-7040.
Parent's First Name
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required
Parent's Last Name
*
required
Parent's Email
*
required
Number of Students Applying
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required
Application Fee is $90 per student
Please Select…
1 Student ($90)
2 Students ($180)
3 Students ($270)
4 Students ($360)
Total Due:
$
Student's Name
*
required
(first and last)
Student's Grade for 2020-21
*
required
Please Select…
TK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
2nd Student's Name
*
required
(first and last)
Student's Grade for 2020-21
*
required
Please Select…
TK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
3rd Student's Name
*
required
(first and last)
Student's Grade for 2020-21
*
required
Please Select…
TK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
4th Student's Name
*
required
(first and last)
Student's Grade for 2020-21
*
required
Please Select…
TK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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