After School Student DetailsStudent Name *Student Grade (Spring 2026) *Choose an optionKindergarten123456789101112Student Date of Birth *Parent DetailsParent 1 Name *Parent 1 Phone *Parent 1 Email *Parent 2 Name *Parent 2 Phone *Parent 2 Email *Street Address *City *Region/State/Province *Postal / ZIP Code *Emergency Contact Name *Emergency Contact Number *Other InformationNew/Returning Student *I am a new New East West Academy student(registration fee $50)I am a current New East West Academy studentDoes your child have any allergies? *YesNoPlease specify the allergies *Does your child have any medical conditions? *YesNoPlease specify the condition *Select your enrollment weeks *Week 1 (10/5-10/9)Week 2 (10/12-10/16)Week 3 (10/19-10/23)Week 4 (10/26-10/30)Week 5 (11/3-11/7)Week 6 (11/10-11/14)Week 7 (11/17-11/21)Week 8 (11/30-12/4)Week 9 (12/7-12/11)Week 10 (12/14 – 12/18)How many days per week?Please SelectPlease SelectSelect days per weekOne dayTwo daysThree daysFour daysFive daysSelect specific day(s) *MondayTuesdayWednesdayThursdayFridayChoose Day(s) *MondayTuesdayWednesdayThursdayFridayChoose Day(s) *MondayTuesdayWednesdayThursdayFridayChoose Day(s) *MondayTuesdayWednesdayThursdayFridayChoose Day(s) *MondayTuesdayWednesdayThursdayFridayWould you like to add an optional class? *Please SelectYesNoChoose you Class(es) *AI Robotics ($40/1.5 hours)Chinese ($35/1.5hours)Chess ($35/1.5hours)Art ($35/1.5hours)Afficient Math($40/Week Per Subject)Afficient English($40/Week Per Subject)Spanish ($35/1.5hours)One to one tutoringPaymentEstimated Total CostSelect a Payment method *ZelleCheckCashZelle InfoName: New East West AcademyPhone Number: 7029810576Please upload your screen shot of the successful payment for us to confirm. *Choose FileNo file chosenDelete uploaded filePlease upload the front and back of check *Drag and Drop (or) Choose FilesPlease deliver cash to 6438 S. Tenaya Way, Suite 100, Las Vegas, NV 89113Terms & Conditions Please review our Waiver for Liabilities, Conduct Policy and Registration and Tuition information included above before sign and submission* I acknowledge New East West Academy’s Waiver for Liabilities and Conduct PolicyI acknowledge and accept Magikid’s Terms and ConditionsLeave a messageSubmitPlease do not fill in this field.
