Student Registration Form
Please fill out the following form. Payments can be made @margiehollingsworth on PayPal, or by check or cash.
Student Name
*
First Name
Last Name
Student E-mail
example@example.com
Parent (contact) name:
*
First Name
Last Name
Parent (contact) email:
*
example@example.com
Student Cell Number
Format: (000) 000-0000.
Parent Cell Number
Format: (000) 000-0000.
Class choices, please choose one or more (Classes available based upon enrollment) Pay attention to the class schedule posted on our website so your class choices do not conflict.
*
Algebra 1 9-10:15am
Algebra 2 7:45 -9am
Registration fee of $40 per FAMILY can be paid in PayPal to @margiehollingsworth.
Monday classes will be held at Magnolia Baptist Church. Wednesday classes will be held at Mt. Vernon Church.
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