Student Registration Form – Learning for Living Academy

Student Registration Form 2025 - 2026 (Term 1)

Thank you for your interest in our Programme. Please provide the information requested below and your submission will be reviewed. Following approval, you will be provided with further information and instructions to complete payment and registration.

Student's Name

First

Last

Is the student new or returning?

First time attending
Returning student

Student's date of birth

Student's Age

Which School does the student attend?

If the student does not attend school, type "none".

Select the student's grade or form from the options below.

Select your programme interest.

Online Course(s)
CPEA Saturday Adventures
Personalized Education Programme

Select the CPEA ONLINE COURSE(S) which you would like to register for.

If you do not wish to register a Grade 5-6 student, click none of the above.

Select the LOWER SECONDARY ONLINE COURSE(S) which you would like to register for.

English
Mathematics
General Studies
None of the above.

If you do not wish to register a Form 1-2 student, click none of the above.

Select the UPPER SECONDARY ONLINE COURSE(S) which you would like to register for.

If you do not wish to register a Form 3-5 student, click none of the above.

Select the FACE TO FACE lessons which you would like to register for.

If you do not wish to register for face to face classes, click none of the above.

If you selected a personalized education plan, please indicate the most suitable day(s).

Recommended: Select one to three (3) days.

Tell us about the goals which you would like your son/daughter to achieve through this programme? *

Include any special requests, background information or instructions for the tutor.

Parent/Guardian Name

First

Last

Parent/Guardian Email Address

Parent/Guardian Phone

Secondary Contact Name

First

Last

Secondary Contact Phone

I agree to pay the following fees on or before the required payment dates.

Registration Fee
Tuition Fee

Your invoice will be sent to the email address provided.

Preferred Payment Method (Tuition Fee)

Full payment by cash/cheque
Full payment by direct deposit - BOSVG
Full payment by credit/debit card
2 Installments by credit/debit card
3 Installments by credit/debit card

Instructions for payment will be stated on your invoice.

Permission & Agreement

I agree to Learning for Living Terms and Conditions.

If you wish to pay the registration fee online, proceed to the next section, or if you prefer to pay in cash, press submit.

Price: $25.00

A charge of EC$25 will appear on your statement from LEARNIN4LIVIN.COM

Add your payment method below to checkout securely.

Registration Fee can also be paid by cash.