Application Form
Please click on the link below to download a PDF file containing our current registration application form. After completing the registration form, you may:
- Fax it to (561) 433-4357
- Mail it to P.O. Box 21223, West Palm Beach, FL 33416-1223
- Scan and email it to jmeeks@potentiaacademy.org
Potentia Academy Registration Application 2020-21
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