2020/2021 Registration Form

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

Please use this form to register for the following classes taught by Melissa Conkling at the Houston-West Katy Campus *after* you have registered your family with One Day Academy:

> Economics/Personal Finance - Registration fee $75 (includes course workbook); Tuition $540
> Processes of Problem Solving 2 - Registration $35; Tuition $450
> Math 4/5 - Registration $35; Tuition $450

*Please note that Tuition may be paid as a one time payment, as two payments (1/semester), or in 9 monthly payments.

Please include your registration fee with this form. Payment options are:
Venmo: @Mconkling
Zelle: melissaconkling@icloud.com or 903-216-4381

Parent Name (First and Last) *

Secondary Parent Name

Primary Parent Email *

Address *

Primary Parent Phone Number *

Student's First Name *

Student's Last Name *

Student's Date of Birth *

YYYY

Course Enrolling at Katy location *

Additional information you would like me to know about your child

ODA Family Registration Number if you know it

I understand and agree to the following: *

Registration is not complete until this form is submitted and registration fee has been paid/received.

To accept the policies of One Day Academy.

My family is registered with One Day Academy.

Registration fees are NOT refundable.

To pay monthly tuition by the first class of every month or a late fee of $10 will be added.

A 30-day written notice is required before withdrawing from a class.

All courses at One Day Academy are nine months in length.

Required

By entering your name here, it will serve as your signature that you agree to the above: *

Thank you and I look forward to meeting you and your student. Please contact me at melissaconkling@icloud.com for questions.

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