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.
Teacher registration and tuition are made payable separately to the individual teachers.
Signature________________________________Date________