I’m Interested

Acorn Academy
Registration Form
2009-2010

Child’s Name (required)

Parent/Guardian’s Name (required)

Parent Email (required)

Please choose which class you are registering your child for:
 T/Th 3 year olds 9:00-11:00 $50.00/month
 M/W/F 4 year olds 9:00-11:00 $60.00/month


3 year old class: Born between Sept. 1, 2004 and April 30th 2006
4 year old class: Born between Sept. 1, 2003 and Aug. 31st, 2005

(A $50.00 non-refundable registration fee and 1st months tuition is due at registration.)

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 I acknowledge that I have paid the $50.00 non-refundable registration fee for the 2008-2009 school year.

 I also acknowledge that I have read the policies and procedures form and will agree to pay the monthly tuition as marked above. I understand that at any time my account is not paid by the 15th day of the month, that Alison Adams has the right to terminate my child’s position in the class.

Copyright 2009 Acorn Academy