Dunwoody Homeschool
2009-2010 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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Student staying for lunch:    Tuesday        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 of all classes to:
Becky Humphrey, Administrator
2678 Camelot Ct.
Duluth, Ga. 30096

Contact individual instructors about where to send registration for each class.
I understand that I must pay the Dunwoody Classes for 2009-2010 which 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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