Winter Homeschool Session REGISTRATION
Tuesdays and Thursdays 10:00-3:00 at The Optimist Club Land
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Student Name
*
First Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
This year we will start passing the debit/credit transaction fee onto you. We apologize, but this cost us too much last year to continue. Please check which method you will be paying. You will be billed that amount.
I will send a check to the NEW PO Box- No fees for anyone!
I will pay with my debit or credit card and assume the 2.9% transaction fee. ($412.20)
I will pay with a direct deposit and assume the 1% fee ($404.00)
I will pay with an additional $25 donation for scholarship fund!
Are you registering for more than one child? You will receive a 10% discount off your additional registration.
Yes
No
If you answered yes above, please write down the name and birthday of your other child. Please note, you still need to register your other child on another form. Thank you!
Please choose if your child will join Human Nature School on Tuesdays, Thursdays, or both days for this session.
*
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Tuesday Class (1/14-3/18)
OPTIMIST CLUB LAND / AGE 6-12/ Tuesday/ 10 weeks/ 10:00 am-3:00 pm
$
400
Thursday Class (1/16-3/20)
OPTIMIST CLUB LAND / AGE 6-12 / 10 Weeks/Thursday/ 10:00 am-3:00 pm
$
400
Both Tuesday and Thursday (1/14-3/20)
OPTIMIST CLUB LAND/ AGE 6-12/ Tuesday and Thursday/10 weeks/ 10:00 am-3:00 pm
$
760
Human Nature School is committed to equal access opportunities
If your family will require a scholarship in order to participate, please answer "yes" to the following question.
Do you need scholarship information?
YES
NO
How did you hear about Human Nature School?
Mailing Address for Human Nature School
Human Nature School PO Box 5622, Traverse City, MI 49696
Questions?
Email: Info@humannatureschool.org Phone: (231) 463-7986
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