Registration Form

* indicates a required answer.

1. *

PARENTS' NAMES

2. *

ADDRESS

3. *

CITY

4. *

STATE

5. *

ZIP

6. *

PHONE

7. *

E-MAIL ADDRESS

8. *

DATE

9.

DO YOU SUPPORT THE MISSION STATEMENT AND WISH TO BECOME A MEMBER OF COLUMBUS ACADEMY?

 

Yes No

AFTER SUBMITTING THIS FORM, PLEASE CLICK ON THE "PAY YOUR ANNUAL DUES" TAB ON THE LEFT TO PAY YOUR REGISTRATION FEE. THE NEW MEMBER PRICE IS $25.