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If possible, we strongly encourage families to join us for a tour.

After we receive an application, and the $75 application fee, your student will be placed on the waiting list for their appropriate age group.

Parent/Guardian 1 (Primary Contact)
First Name Last Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email (Parent/Guardian 1)
Phone Number (Parent/Guardian 1)*
- US/Canada
- International
Phone (US/Can)
Phone Number (International)
Parent/Guardian 2
First Name Last Name
Email (Parent/Guardian 2)
Student's Name
First Last
Student Date of Birth or Due Date
Date Format: MM slash DD slash YYYY
Student's Gender*
Desired Start Date
Date Format: MM slash DD slash YYYY
How did you hear about Merritt Academy?*
Please Specify*
Application Fee
Price: $75.00
Square Payment

Card Number

Expiry (MM/YY)

Card Code

Card Postal Code
By submitting this application I authorize Merritt Academy to charge my credit card a non-refundable fee of $75.00.
Name
This field is for validation purposes and should be left unchanged.

“ Intelligence plus character – that is the goal of true education. ”
-Martin Luther King, Jr.