AKALA | Sign Up

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Name*

Nickname

E-mail Address*

Password*

Password Confirmation*

Choose a strong password with at least eight characters, with both letters and numbers.

Date of Birth

Address

Phone Number*

Skype ID

Gender
Male Female Other

Race/Ethnicity

Graduation year*

IEP
Yes No

If Yes for IEP, please explain

Middle/High School Name*

School Counselor Name

School Counselor E-mail Address

Organization/Club Name

Club Counselor/s

Club Counselor E-mail Address

Club Counselor Name

Parent 1 Name

Parent 1 E-mail Address

Parent 1 Phone

Parent 2 Name

Parent 2 E-mail Address

Parent 2 Phone

Registration to AKALA is invite only. If you don't have access code please contact us at Signup page and we will contact you.

Access code

Thank You for joining AKALA. Standard subscription fee is $100 per month. If you have discount code, please enter it below:

Discount code

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