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Fill Out Student Information - Step 1 of 2

Course Registration Form

Name of Student *

First

Middle

Last

Current Grade *

Start Date *

Summer 2026 ( 3 hours per day) - Dates to be determined

Name Of Current School *

Home Phone *

Home Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Program Schedule

The January session of the Entrepreneurship Program for Innovators and Changemakers (EPIC) by Babson College is currently open for enrollment. January Session: Now Enrolling ( 3 hours per day) - 10 days (Sundays, 8:30 am) -:Jan 18th - March 22nd

Please choose the program

Parent/Guardian #1

Parent/Guardian’s Name *

First

Last

Cell Phone *

Email Address *

Parent/Guardian #2 (Optional)

Parent/Guardian’s Name

First

Last

Cell Phone

Email Address

In the event of an emergency, if the parents cannot be reached, please contact:

Emergency Contact

Name *

First

Last

Relationship *

Cell Phone *

Email Address *

Additional Information

Have you ever had a child enrolled at Cedar Hill Prep School or New Jersey Institute of Nature? *

How did you learn about us? *

Upload Your Most Recent Transcript *

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Payment

Total *

$0.00

Stripe Credit Card *

Card

Name on Card

Comment

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Course Registration Form

Program Schedule

Parent/Guardian #1

Parent/Guardian #2 (Optional)

In the event of an emergency, if the parents cannot be reached, please contact:

Emergency Contact

Additional Information

Payment

Attend the Zoom Session with Dr. Nandini Menon