Dunwoody Classes
Class Registration Form


Class information:

Name of class___________________________________________

Day of week_______________________Time of day____________

Teacher's name_________________________________________

Student's information:

Student's name__________________________________________

Date of Birth_______________________Grade________________

Parent's names__________________________________________

Street address__________________________________________

City______________________________Zip___________________

Email address___________________________________________

Home Phone____________________________________________

Emergency contact_______________________________________

Tuition payments are due the first day of the month through
December (1st semester), or May (2nd semester). Upon enrolling
and attending classes, you are financially responsible for that
semester’s tuition. All fees are non-refundable unless the class is
cancelled. Make checks payable to the teacher. Please mail or give
registration checks to your teacher along with this registration form.

The membership fee for Dunwoody Classes for 2009-2010 will be
$75 per semester for one student or $100 per semester for families
with multiple students. The membership fee includes the facility fee
and unlimited choices of classes.

Teacher registration and tuition are made payable separately to the
individual teachers. The membership fee is made payable to Becky
Humphrey and
must be paid before or by the first day of class. This
one membership fee and the teacher fees are the only fees that will
be assessed.


Signature________________________________Date________
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