Welcome to Milpitas Christian School Learning Lab!

Learning Lab Tutoring Registration

Student's Information

Student's First Name*

Student's Middle Name*

Student's Last Name*

Student's Date of Birth*

Student is enrolled at MCS

Yes

Student's grade level in the fall:*

Parent Information

Mother's First Name*

Mother's Last Name*

Mother's Cell Phone*

Mother's Home Phone

Mother's Email*

Mother's mailing address (street, city, state, zip)*

Father's First Name*

Father's Last Name*

Father's Cell Phone*

Father's Home Phone

Father's Email*

Father's mailing address (street, city, state, zip):*