Registration


Welcome to Midstate! Please complete the following registration form. We are excited to have you as a part of the Midstate family!!

*   denotes required fields

Referral Information
Family Information
Where do you live?
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Student #1
Additional Info
Enroll in Classes
Select Class
Required Policies
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Questions or Concerns
Payment Information
Account Information
Credit Card