- Axis Live

Application for Enrollment

Use this form to apply for the Axis Academy Umbrella Program. Application processing is currently taking less than one week. Once your application is completed, you will be redirected to the instructions used to submit payment. The appliction will be processed once payment is received.

Parents Please add all parents/legal guardians of any student.

Parent Profile

First Name*

Last Name*

Address 1*

Address 2

County*

City*

State/Prov*

Postal Code*

Email*

Home Phone*

Mobile Phone*

Parent Profile X

First Name*

Last Name*

Address 1*

Address 2

County*

City*

State/Prov*

Postal Code*

Email*

Home Phone*

Mobile Phone*

Students

Student Profile

First Name*

Middle Name

Last Name*

Birth Date*

Format: YYYY-MM-DD

Completed Grade Level*

Select last level completed.

Transfer From

Place of last enrollment, county, and state.

Education Plan Summary

Please provide the general plan for meeting this students education needs this year.

Special Needs

Please list any special needs of which you would like us to be aware.

Student Profile X

First Name*

Middle Name

Last Name*

Birth Date*

Format: YYYY-MM-DD

Completed Grade Level*

Select last level completed.

Transfer From

Place of last enrollment, county, and state.

Education Plan Summary

Please provide the general plan for meeting this students education needs this year.

Special Needs

Please list any special needs of which you would like us to be aware.

Application for Enrollment

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Cart Summary

Cart Summary

Payment Information