THE PHILOSOPHY

GET INSPIRED

“It is hard to fail, but it is worse never to

have tried to succeed.”

–Theodore Roosevelt-

Enrollment Application

Apogee Highlands 2026-2027 Membership Enrollment Form

This form will be used to build out your family's profile in our systems, so please check for accuracy!
Please be sure to complete one entire form for each child that you would like to enroll at Apogee Highlands!

Parent Information:

Parent First Name *

Parent Last Name *

Phone *

Email *

Address

Street Address *

City *

State *

Country *

Postal Code *

Second Parent / Guardian First Name

Second Parent / Guardian Last Name

Second Parent / Guardian Phone

Second Parent / Guardian E-Mail

Child Information:

Child First Name

Child Last Name

Date of birth

Program Selection:

Please select all programs that you would like to enroll your child for.

Core Program Selection *

Afterschool Leadership Club *

Has your child been homeschooled before? *

Current School

Enrollment Details:

Desired Start Date (First day of program is 9/8/2026): *

How did you hear about Apogee Highlands? *

Interested in Apogee Man/Woman/Young Man/Young Woman Programs (Included for free!)

Discount Eligibility:

Military / First Responder *

Siblings Enrolled *

Registration Fee Acknowledgement:

I understand that a one-time, non-refundable registration fee is due upon enrollment. *

Acknowledge

Membership Agreement:

I understand that membership fees are billed monthly until cancellation according to the Family Handbook *

Acknowledge

Parent Agreements:

I understand that I will receive the Family Handbook, family agreements and waivers, and other required documents after submitting this form. *

Acknowledge

Emergency Contact:

Emergency Contact Name *

Emergency Contact Relationship to Child *

Emergency Contact Phone *

Medical Information:

Allergies: *

Medical Conditions *

Medications *

Physician Name (Optional)

Emergency Notes *

Final Confirmation:

Sign Here

Clear

By checking this box, I consent to receive non-marketing text messages from [BUSINESS NAME] about [USE_CASE_FROM_CAMPAIGN_DESCRIPTION]. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Privacy Policy | Terms of Service

Rapid Active CRM

THE PHILOSOPHY

GET INSPIRED

–Theodore Roosevelt-

Enrollment Application

©️ 2026 Apogee Highlands NJ LLC | Terms & Conditions | Privacy Policy