Class Registration Form 2010/2011

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Student Name

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Age & Birthdate        Male/Female        Grade (Fall 2010)

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Parent/Guardian Name

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Address

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City                                    State     Zip

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Phone (Daytime)                         (Evening)

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Email address


         ClassID#            Class Name               

Class 1: ________  _________________________________________

Class 2: ________  _________________________________________  

Class 3: ________  _________________________________________

Class 4: ________  _________________________________________

       Registration Fee (new student for 2010-2011):  $15.00



Payment preference (check one):  
 per Month           Semester          Annual


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Signature                                  Date

                                             

Instructions

Please print this page and fill-out all information, one registration per student. Choose the payment option you prefer: per month, semester, or annual. When finished, please mail the form plus payment to the address below.

Payments

Please click here for Tuition Information
 

Class Schedule

Please click here for the Class Schedule 2010/2011