Home-School ASL Class

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Course Facilitator ~ Mrs. Shelby Miller

Classes held in New Braunfels, Texas

Student Registration Form

If you are enrolling more than one student, you must complete this form for each individual student.

Students Full Name *

First, Middle, and Last

Students Gender *

Male

Female

Students DOB *

01/01/****

Academic Grade Level *

2020-2021 enrolling year

Parents Names *

Physical Address *

Please list your full address, to include your city and zip

Parent Contact Number *

Student Contact Number *

I encourage students to text or call with questions, as they need to

Parent Email Address *

Parent's primary communication address for class information, course progress, updates, and homework help

Students Email Address (Cannot be the same as parent email) *

This is required for student access to the online course interface

Course Student is Enrolling in *

2020 - 2022 ASL I & II - 2-year Program - Friday's 1:30pm - 4:00pm

Required

Tuition for Single Student

Registration Fee - $35.00

PAID IN FULL PAID BY SEMESTER PAID MONTHLY
ASL I $1250.00 $625.00 / Semester $125.00 / Month
ASL II $1250.00 $625.00 / Semester $125.00 / Month

Multi-Family Discount

Registration Fee - $35.00 for each student enrolling

ASL I

Student 1 - $1250.00 / Full $625.00 / Semester $125.00 / Monthly
Student 2 - $1150.00 / Full $575.00 / Semester $115.00 / Monthly
Student 3 - $1050.00 / Full $525.00 / Semester $105.00 / Monthly

ASL II

Student 1 - $1250.00 / Full $625.00 / Semester $125.00 / Monthly
Student 2 - $1150.00 / Full $575.00 / Semester $115.00 / Monthly
Student 3 - $1050.00 / Full $525.00 / Semester $105.00 / Monthly

Registering More Than One Student From Your Household?

This is Student Number (this is for the mutil-family discount)

Student 1

Student 2

Student 3

Registration Fee (Non-Refundable) *

Due immediately to hold students place within the class

$35 Registration fee - By August 1, 2020

$60 Late Registration fee - By August 14, 2020

$85 Late Registration Extension fee (with instructor approval) - By August 21, 2020

PayPal - hsasl_smiller@yahoo.com

Required

Course Tuition *

Choice of Payment Plan

Paying In Full

Paying by Semester

Paying Monthly (Contract of faith must be signed at Open House)

Required

Tuition (Only Payable by Cash or Check) *

Fall Semester -or- 1st monthly tuition installment is due by August 5th. If registering after this date, tuition is due no later than August 24th - at Back-To-School night.

Check By Mail - Address will be sent to you after enrollment form is submitted, and registration fee paid

Required

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