Strong in the Basics Registration

May 3–14, 2021

Date
Date Format: MM slash DD slash YYYY
Student's Name*
First Last
Student's Date of Birth*
Date Format: MM slash DD slash YYYY
Parent's Name
Students under the age of 18 are required to have a parent on campus with them. Parents are not required to attend classes but are welcome to if they desire.
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Student Housing and Meals*
- I need on-campus housing and meals ($570)
- I am arranging my own housing and meals ($200)
Parent Housing and Meals
- I need on-campus housing and meals ($370)
- I am arranging my own housing and meals ($0)
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name