Class Registration for 2021-2022

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thanks for your interest in academic skills, writing, and social studies classes for this academic year. Please fill out all of the information below to enroll your child(ren) in class(es). Please fill out a separate form for each student. For more information on all of my classes, visit: http://kathryn-wall.com/classes/

I'm looking forward to a terrific year!

Student's Name *

Student's age on September 1, 2021 *

Student's Email *

Student's Phone Number (if applicable)

Parent or Guardian (may list more than one) *

Parent Email *

Parent Phone Number *

Which classes are you registering for? (Check all that you are registering for at this time.) *

Academic Skills (Mondays 4-5, March 14 to April 28, six weeks)

Introduction to Essay Writing (Mondays 4-5, November 8 to December 20 with Nov 22 off, six weeks)

Intermediate Essay Writing (Mondays 4-5, Jan 31 for March 7, six weeks)

High School U.S. History (Wednesdays 3:30 to 5 PM, five six-week sessions -- session 3 starts December 15)

U.S. Government for Teens (Thursdays 3:30 to 5 PM, five six week sessions -- session 3 starts January 6)

Required

I understand that registration is considered a commitment to enroll and pay for this class if it meets its minimum enrollment threshold. I also understand that payment via Venmo or PayPal is due on or before the first day of class for each six-week term, unless a previous arrangement has been made with the instructor. Any payments that are received later than the end of class time on the 2nd week of any given session will be subject to a $25 late fee. *

I agree.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms