Pahlow's English Registration
Please complete this registration form.
Family Last Name *
Your answer
Address *
Please include Address, City, State, and Zip Code
Your answer
Father's Name *
Father's Name
Your answer
Father's Cell Phone
### - ### - ####
Your answer
Mother's Name *
Mother's Name
Your answer
Mother's Cell Phone
### - ### - ####
Your answer
Family Email *
Your answer
ODA Registration Number *
Registration will be put on "Hold" without this number. All families must register with ODA prior to enrolling in any classes at ODA.
Your answer
Preferred Number During ODA *
This is the number that will be called during ODA, if necessary.
Your answer
Emergency Contact Name and Phone Number *
Person to be contacted in an emergency
Your answer
Student Name 1 *
Your answer
Campus *
Course *
Student Name 2
Your answer
Campus
Course
Student Name 3
Your answer
Campus
Course
Student Name 4
Your answer
Campus
Course
Student Name 5
Your answer
Campus
Course
Terms of Acceptance
My family agrees to accept the policies of One Day Academy any time we attend a One Day Academy campus. We give permission for our child(ren) to be photographed in the course of normal classroom activities. Pictures may then be used on the Pahlow’s English or One Day Academy website. We agree to pay the stated monthly tuition fee for each of our student’s courses or $150 for the family on or before the beginning of each month. Tuition payments with cash, PayPal via the website, or personal checks payable directly to Pahlow's English LLC are acceptable. Receipts will be furnished upon request.

RETURN POLICIES
Registration fees are non-refundable. A course workbook with any student’s handwriting therein cannot be refunded or exchanged.

PLEASE REMEMBER TO CLICK SUBMIT BUTTON PRIOR TO SENDING IN YOUR REGISTRATION FEE. SELECT ADD TO CART AFTER SELECTING SUBMIT BUTTON FOR THE REGISTRATION FORM.

Registration is a fee of $70.00 for 1 student, $90.00 for 2 students, and $110.00 for 3 or more students.. You will be required to purchase a workbook for each student from Mrs. Pahlow's website, which will be shipped to you separately on or before August 9th, 2018.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms