TRUE IMMERSION REGISTRATION FORM

Please submit form online and mail a deposit of $1,000 to the address below.  
You may also register via email at carol@trueimmersion.org

Student Full Name *
Student Full Name
Birth Date of Student *
Birth Date of Student
Address *
Address
Parent/Guardian Cell Phone Number *
Parent/Guardian Cell Phone Number

Payment Information

A deposit of $1,000 is due at the time of registration to hold your child's spot.
$800 is refundable before January 5.
$500 is refundable before January 25.  
No refunds after that date. $1125 is due February 25 and balance of $2125 is due April 1.

Please make checks payable to True Immersion and mail to:
5202 Kenmore Road
Richmond VA, 23226

Email us to pay with Paypal (additional 2.9% processing fee)