HSOBX Fall 2018 Registration Form
Registration is $50 for one child, plus $5 for every additional child taking a class and $25 for a second day of classes. Registration fees are non-refundable. Registration fees need to be paid every semester your child takes classes at HSOBX.
Email address *
Parent 1 - Full Name *
Your answer
Parent 2 - Full Name *
Your answer
Your phone number *
Your answer
Your address *
Your answer
Total number of children to register *
First Child's First and Last Name *
Your answer
First Child's Age as of September 30, 2018 *
Second Child's First and Last Name
Your answer
Second Child's Age as of September 30, 2018
Third Child's First and Last Name
Your answer
Third Child's Age as of September 30, 2018
Fourth Child's First and Last Name
Your answer
Fourth Child's Age as of September 30, 2018
Fifth Child's First and Last Name
Your answer
Fifth Child's Age as of September 30, 2018
Sixth Child's First and Last Name
Your answer
Sixth Child's Age as of September 30, 2018
Will you be attending both Tuesday and Thursday classes? *
I have read the Family Handbook and I understand that registration fees are non-refundable *
I understand that the full name of all adults will be checked against the Virginia State Police Sexual Offender Database records. *
Pay Registration fees
To pay your registration fees, go to www.paypal.com and send to payhsobx@hsobx.org
# of children 1 Day 2 Days
1 $50 $75
2 $55 $80
3 $60 $85
4 $65 $90
5+ $70 $95
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.