Virtual Home Room

Student Course Registration Form

Click on the links below if you prefer to do mail-in forms.


 Registration form (print one per child) 
Payment forms (print one per family)

 

Parent's name

Address:   Street     City    State    zip

email:     phone:

Did a Virtual Home Room family refer you? If so, who?

Please fill out one section for each student:

 

Student's name

Course #1  

Course #2

Course #3

Course #4

 

 

Student's name

Course #1  

Course #2

Course #3

Course #4

 

 

Student's name

Course #1  

Course #2

Course #3

Course #4

 

Student's name

Course #1  

Course #2

Course #3

Course #4

Choose your start date:

Click on the date to view the Test/Quiz close dates. No matter what schedule you choose, you may work as far ahead as you would like. We suggest that you work at least one week ahead of the schedule that you choose. Tests and Quizzes WILL close on the close date!

August 30   September 6   September 13   September 20   September 27   October 4

 
Courses are $45.00 each. The Registration fee is $30.00 per student. We will review this form and send you billing information soon.

        

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