Fall 2023 Class Registration
Please carefully review the daily schedule prior to registering. You will receive a confirmation email within 48 hours of completing the registration form. A $350/student non-refundable registration fee is required to finalize your registration. $300 of the fee will be applied to your tuition bill; $50 is your registration fee.
Don't forget to click "Submit" at the bottom of the form!
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电子邮件地址 *
Parent First Name *
Parent Last Name *
Parent Email Address *
Parent Home Phone Number
Parent Cell Phone Number *
Home Address (Street, Town, Zip) *
Student Name *
Student Age *
Indicate age of student as of Sept 2023
MONDAY CLASSES
Period 1: 9:00am - 10:30am
Choose one class offering for Period 1
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Period 2: 10:30am - 12:15pm
Choose one class offering for Period 2
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Period 3: 1:00pm - 2:30pm
Choose one class offering for Period 3
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Period 4: 2:30pm - 4:00pm 
Choose one class offering for Period 4
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WEDNESDAY CLASSES
Period 1: 9:00am - 10:30am
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Period 2: 10:30am - 12:00pm
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Period 3: 12:45pm - 2:15pm
Choose one class offering for Period 3
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Period 4: 2:15pm - 3:45pm 
Choose one class offering for Period 4
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Code of Conduct *
Our Code of Conduct states that all students are expected to be respectful of their facilitators and fellow students at all times. Repeated disruptions or refusal to follow instructions may be cause for dismissal. In addition, students should be actively engaged in classes, complete assignments, and not miss more than two classes per semester unless prior arrangements are made with the class facilitator. By enrolling in any Mosaic Freeschool class you agree to be bound by our Code of Conduct. Please confirm below that you have read and understand the Mosaic Freeschool Student Code of Conduct.
Allergies *
If Yes, please indicate student name(s) and allergy
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