Pre-Registration Form

School Site:*
- Himmel Park (HP Edge) - 2555 E 1st St, Tucson, AZ 85716
- Northwest (NW Edge) - 231 W Giaconda Way # 113, Tucson, AZ 85704
Sessions:*
- AM session
- PM session
*Sessions Subject to Change

Fields with an asterisk are required.
Please check WITH WHOM THE STUDENT LIVES, and enter their information below. (If student is 18+, check "self" and enter "students" information.) Please Provide a Proof of Residency Document.*
- Parent
- Guardian
- Self
- Other
Please Explain
Name*
First Middle Last
Address*
Street Address City State ZIP Code
Cell*
Other
Type of phone number in the 'Other' field
- Home
- Work
- Neighbor
Guardian Email*
Student Email*