Dunwoody Homeschool
2011-2012 Master Registration



Student Name:________________________________________________________


Date of Birth: ______________________   Grade: ____________________________


Parents Names: _______________________________________________________


Address: ____________________________________________________________


Email address: ________________________________________________________


Home Phone: ______________________  Cell: ______________________________


Emergency Contact: ____________________________________________________



Class                                                                                        Day/Time            

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In 2011 / 2012  there will be a $10 per student, per semester charge for Study Hall. Please contact Trez Dabbs at 770) 396-4455 for more information.


Please circle day/days student will be staying for lunch:    Wednesday      Thursday


Circle which parent  committee you would like to volunteer on:

Lunch Volunteer                 Field Trips               Activities (yearbook, service, parties)



I understand that I must pay the Dunwoody Classes fees for 2011-2012. Please contact Trez Dabbs for more information at (770) 396-4455

 

Signature______________________________________________  Date_________


Contact individual instructors about where to send registration for each class.