Student Registration Fee 2021 – 2022

Please note: This form is for incoming freshman and transfer students only. All current students will receive the $350 registration fee on their FACTS account on April 1, 2021 and need not fill out this form.

Student Name*
First Last
Student Grade Level for 2021 - 2022 School Year*
- Freshman
- Transfer Student
Mother/Guardian's Name*
First Last
Father/Guardian's Name*
First Last
Parent Email Address*
Registration Fee*
Price: $350.00
*This is a non-refundable fee
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State ZIP Code
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Student Registration Fee 2021 – 2022

7400 Military Ave
Omaha, NE 68134

(402) 571-2618

7400 Military Ave
Omaha, NE 68134

(402) 571-2618