| Dunwoody Homeschool 2010-2011 Master Registration Student Name: ____________________________________________________________ Date of Birth: ______________________ Grade: ________________________________ Parents Names: ___________________________________________________________ Address: ________________________________________________________________ Email address: ____________________________________________________________ Home Phone: ______________________ Cell: __________________________________ Emergency Contact: ________________________________________________________ Class Day/Time ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ In 2010 / 2011 there will be a $10 per student, per semester charge for Study Hall which will be made payable to Becky Humphrey at the beginning of each semester. 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) Please mail a master registration form with all classes listed on it to: Becky Humphrey, Administrator 2678 Camelot Ct. Duluth, Ga. 30096 Contact individual instructors about where to send registration for each class. |