Provide the following data and the student will receive an Adult Policies & Agreement Form. Student Name: Email Address: Package Name: Package Start Date: Enrollment Fee (Required - use 0 if enrollment fee is not needed): Monthly Payment Amount (Tuition amount - numbers only. Use the 'Subtotal' line from Square, if desired. Tax info added automatically): Number of Months: Payment day of the month: Applicable discounts: 10% 2nd Student 20% Family 5% 1st Responder 5% Paid-in-full Submit Form