Join Interest List

Life as an EDUPRIZE Eagle

Queen Creek Campus Interest

We are so excited that you are considering EDUPRIZE for your child, where you will discover Excellence in Education! Please complete the form below for each student and an enrollment coordinator will contact you with more information.

"*" indicates required fields

Parent / Legal Guardian Name*

Parent/Legal Guardian First Name * Parent/Legal Guardian Last Name *

Parent / Guardian Name

Parent/Legal Guardian First Name Parent/Legal Guardian Last Name

Phone Number Contact*

Email Contact*

Student Name*

Student First Name * Student Last Name *

Date of Birth*

Gender*

School year applying for*

Grade level seeking enrollment for*

Check to add additional students

Add one more

Add two more

Add three more

Second Student Name*

Student First Name * Student Last Name *

Second Student Date of Birth

Second Student Gender*

Second Student School year applying for

Second Student Grade level seeking enrollment for

Third Student Name*

Student First Name Student Last Name

Third Student Date of Birth

Third Student Gender*

Third Student School year applying for

Third Student Grade level seeking enrollment for

Fourth Student Name*

Student First Name Student Last Name

Fourth Student Date of Birth

Fourth Student Gender*

Fourth Student Grade level seeking enrollment for

Fourth Student School year applying for

Would you like to share any additional information in regard to future enrollment and/or details about the student's?

How did you hear about us?*

Please list the name of the family that referred you.

Proof of Arizona residency will be required in order to consider the student for enrollment.

Name

This field is for validation purposes and should be left unchanged.