Fall 2022 Registration - Updated

Page 1 of 5

Student Information

Below is the registration form for the Fall 2022 semester. Any incomplete forms will be submitted automatically. Only completed registration forms will be taken into consideration. Registration is done on a first come first serve basis. You will see a "Registration Complete" notification at the end of the form. CalAPS will send a notification to the email address provided confirming your acceptance into the class of your choice.

	Last Name*

	First Name*

	Middle Name

	Grade* What grade will you be in the Fall 2022 semester?

	Age*

	Date of Birth*
	mm/dd/yyyy

	Gender*
	Gender* Female Male Wish not to state Other, please specify

	Address *

	City *

	State*

	Zip Code*

	Student Cell Phone*

	Student School Email * Must Provide a Valid School Email Address

	High School you are Attending *

	Are you a returning student to the CalAPS program?