School Registration

Please fill out the form below to register. Please enter N/A on any fields that are not applicable to you.

Download Registration Form

Student's Name:

Billing Information:

First Name:

Middle Initial:

Last Name:

Email:

Phone:

Address:

City:

State:

Zip Code:

Country:

Upload PDF:

Browse

Only PDFs are supported.
Maximum upload size PDF: 16 MB

Description:

Payment Information:

Amount:

Card Type:

Credit Card #:

Expiration Month:

Expiration Year:

CVV2:

Prove you are human:

By Submitting this form, I confirm that the information I have provided is correct to the best of my knowledge and I Authorize Space Coast Education Center to withdraw funds from the card account I've entered above.

Loading...

Call: (321) 308-8000

30th

ANNIVERSARY

30th ANNIVERSARY

• Since 1991 •

Student's Name:

Billing Information:

Payment Information:

Newsletter:

Videos:

Location:

STUDENT / ALUMNI

GUEST

SOCIAL MEDIA

HELP/INFO

1070 S Wickham Rd,
West Melbourne, FL 32904

CALL: (321) 308-8000 EMAIL:

Loading...

School Registration

Student's Name:

Billing Information:

Payment Information:

Newsletter:

Videos:

Location:

STUDENT / ALUMNI

GUEST

SOCIAL MEDIA

HELP/INFO

1070 S Wickham Rd, West Melbourne, FL 32904

CALL: (321) 308-8000 EMAIL:

Get Information Form

1070 S Wickham Rd,
West Melbourne, FL 32904