Apply – Re-enrollment – STEAM Educational Foundation

Re-enrollment Application

Thank you for submitting your $25 re-enrollment fee.

For inquiries, please email: Tricia Lorenzen, Program Coordinator. Phone: 949.546.7294

Parent Email *
Parent First Name *
Parent Last Name *
Phone *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Student #1: Full Name *Please provide first and last legal name.
Student #1: Birthdate *
Student #1: Age *
Student #1: Grade Level for Application Year *
Student #2: Full Name (If applicable) Please provide first and last legal name.
Student #2: Birthdate
Student #2: Age
Student #2: Grade Level for Application Year
Student #3: Full Name (If applicable) Please provide first and last legal name.
Student #3: Birthdate
Student #3: Age
Student #3: Grade Level for Application Year
Student #4: Full Name (If applicable) Please provide first and last legal name.
Student #4: Birthdate
Student #4: Age
Student #4: Grade Level for Application Year
Charter Affiliation *
How do you plan to pay tuition? *
Out of PocketUse Charter Funds
What program days do you prefer? *
Monday & WednesdayTuesday & Thursday
Would you like to add on optional Friday?
Optional Friday class instruction offers a writing intensive for current students enrolled in Mon/Weds or Tues/Thurs classes.Add Friday to current Mon/Weds scheduleAdd Friday to current Tues/Thurs schedule
I give STEAM Ed permission to use pictures of my child on the website and in advertising.
* Steam Educational Foundation is not affiliated with, funded by, or otherwise associated with Mission Hills Christian School.