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.
I understand that I must pay the Dunwoody Classes fees for 2010-2011 which will be $40
per semester for one student or $60 per semester multiple students. The membership fee
is made payable to Becky Humphrey and
must be paid before or by the first day of class
for each semester.
The  facility fee paid to North Peachtree Baptist Church will be a
separate check for $40 paid at the beginning of the first semester for the entire school
year.  Teacher registrations and tuitions are made payable separately to the individual
teachers and sent directly to them.


Signature________________________________________________  Date_________
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