2023-2024 Registration Form: MSE Middle Ages Wednesdays @ 1pm ET
Please submit one registration form for each student you wish to enroll.

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Email *
Student Full Name *
Your student will need a Google account to access Google Classroom. Are you willing to create one? *
Student Email Address (used with Google account) *
Students often wish to connect with their peers outside of class. Do you give permission for your student's email address to be shared in a group email for students in this tutorial? *
Parent Full Name *
Parent Email Address *
Parent Phone Number *
Time Zone *
Payment Timeline *
Required
Payment Selection *
PayPal Email Address (if different from parent email address)
Refund Policy
In the event a student should drop the tutorial prior to the second class meeting, which is August 23, 2023, 50% of tuition funds minus all transaction fees will be refunded. After this date, no reimbursement will be made as it is unlikely the seat can be filled.

In the event the tutorial is canceled by the tutor due to <5 students completing their enrollment or other unforeseen circumstances, a full refund will be issued.
Please check the boxes to indicate your agreement with the statements below. *
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Please type your name as an electronic signature to indicate your agreement with the above statements. *
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