International Registration Form

Please complete the form below. Required fields marked with an asterisk *

2911 San Fernando Rd. Los Angeles, CA 90065
Phone: (323) 344-4330 School Sevis Code: LOS214F01647000

School Year Registering For: *

20___ - 20___

Answer Required

Grade Entering*

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Returning Student or New Student *

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New Student

Returning Student

Student Information

First Name *

Answer Required

Last Name*

Answer Required

Middle Name *

Answer Required

Home Address (in the country the student is currently residing)

Street Address*

Answer Required

City*

Answer Required

Country*

Answer Required

Zip/Postal*

Answer Required

Phone

Answer Required

Student Email Address*

Answer Required

Gender*

Answer Required

Male

Female

Ethnicity *

Answer Required

African American

Asian

Caucasian

Filipino

Hispanic

Native American

Other:

Parent/Guardian #1 Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Relationship to Child:*

Answer Required

Parent/Guardian

Host

Agent

Email 1*

Answer Required

Email 2

Answer Required

Mobile Phone*

Number Required

IF ADDRESS IF DIFFERENT FROM THE STUDENTS PLEASE PROVIDE

Street Address

Answer Required

City

Answer Required

Country / State

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Zip/Postal

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Parent/Guardian #2 Information

Please provide what you are to the child:*

Answer Required

Parent/Guardian

Host

Agent

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Relationship to Child*

Answer Required

Email 1*

Answer Required

Email 2

Answer Required

Mobile Phone*

Number Required

Home Phone

Number Required

Work Phone

Number Required

IF ADDRESS IS DIFFERENT FROM BOTH STUDENT & PARENT/GUARDIAN #1 PLEASE PROVIDE.

Street Address

Answer Required

City

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Country / State

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Zip/Postal

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Tuition Payment Plans *

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1 Payment: Tuition Payment of FULL tuition amount due by August 1st

By typing my full name and date below I agree to the following terms and condition, which are binding for payment of tuition for one academic year:

The registration shall be valid only when signed below by Parent/Guardian and payment of the registration fee has been made.
A fee will be charged for all checks returned by the bank or invalidated for any reason.
FAILURE TO MEET PAYMENT OBLIGATION MAY RESULT IN ADMINSTRATIVE SUSPENSION, EXEMPTION FROM EXAMINATIONS, DISMISSAL, OR WITHHOLDING FOR TRANSCRIPTS.
THERE ARE NO REFUNDS OF REGISTRATION OR TUITION PAYMENTS. IF A STUDENT ON A PAYMENT PLAN LEAVES BEFORE SCHOOL FINISHES THE PAYMENTS WILL STILL BE REQUIRED TO CONTINUE.

ARBITRATION: All disputes over the terms of this agreement or an incident/accident that occurs on the Ribet campus that cannot be resolved will be submitted to binding arbitration

Names, addresses and phone numbers are released to our vendors and families.
Ribet student / parent images, likenesses and/or voices may be used for our marketing purposes.

Parent/Guardian Signature*

Please type your full name

Answer Required

Today's Date*

Answer Required

Once the student is accepted, the deposit is required to issue I-20. All tuition, fees, and boarding expenses must be paid in full by August 1st.

International Registration Fee*

Price: $5,175.00

Please fix the highlighted areas below before submitting.

International Registration Form