Family Registration Form Page 4

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F
R
F
AMILY
EGISTRATION
ORM
4
4
SHEET
OF
Tuition / Payment Information:
Current Tuition Amount:
[ ] Weekly [ ] Bi-Weekly [ ] Monthly [ ] Other
Who is responsible for payment of tuition and fees? Please indicate if parents are divorced and split tuition payment
or if payment is the responsibility of an adult other than the parents/guardians listed above.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Additional Comments & Information:
Is there is any other information that would be helpful to our management and teaching staff?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Signature:
Signature of Parent/Guardian:
Date:
Thank You!

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