Online Enrollment Form - Pi Learning Academy

Please complete the form below to begin the enrollment process. After submission, we will contact you to schedule an interview and shadow day. Fields marked with * are required.

Student Information

Full Name *

Date of Birth *

Grade Level *

Home Address

City, State, ZIP

Parent / Guardian Information

Full Name *

Phone Number *

Email Address *

Medical Information

Doctor's Name

Doctor's Phone

Allergies

Medications

Accommodations Needed

Emergency Contact

Name *

Relationship

Phone Number *

Pickup Authorization

Name(s) of authorized person(s) for pickup

Relationship to child

Phone Number(s)

Tuition & Fee Selection

Tuition is due on the 4th of each month, August through May. If the 4th falls on a weekend, payment is due the following Monday. A one-time $100 enrollment fee applies. Field trips are $75/day (waived for full-time students).

Select Tuition Option *

1 Day/Week — $360/month (For Home School Enrichment Program Only)

2 Days/Week — $640/month (For Home School Enrichment Program Only)

3 Days/Week — $840/month (For Home School Enrichment Program Only)

Annual Full-Time (Mon–Fri) — $9,500/year

Semester — $5,000/term

Additional Information

Are you enrolling for the summer program?

Yes

Does the student have siblings that will be enrolled into our program?

Yes

Please list sibling names and ages:

Will you be using scholarship funds for payment?

Yes

Please specify the scholarship program (e.g., FES-UA, FTC-PEP):

Parent / Guardian Electronic Signature

Type your full name as electronic signature *

Date *

I certify that the information provided is accurate, and I agree that typing my name above constitutes my electronic signature. *

Contact Info

Enrollment Form