ICMC Student Application - AfterSchool

ICMC AfterSchool Student Application

ICMC classes meet Tuesday, Wednesday, and Thursday from 5:30PM – 7:30PM.
Monthly Tuition of $150 per child. Each additional sibling is $110. Payment must be made by the beginning of each month.
Financial aid is available for those who submit tax documents and qualify. Please contact us.
Preference will be given to early registrants. Application deadline is January 12, 2020.
Each child will be assessed and interviewed before formal acceptance into AfterSchool.

Please fill out this form!

* Indicates required field

Student Name *

First

Last

Date of Birth *

Additional Student Name *

First

Last

Date of Birth *

Additional Student Name *

First

Last

Date of Birth *

Parent Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Submit