2020-2021 Registration Form
Please submit one registration form for each student you wish to enroll.

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Email *
Student Last Name *
Student First Name *
Student Email Address *
Your student will need a Google account (which can be created using any email address, not only gmail). Are you willing to create one? *
Parent Last Name *
Parent First Name *
Parent Email Address *
Parent Phone Number *
Time Zone *
I am registering my student for the following class: *
Payment
Upon receipt of this form, you will receive a confirmation email stating a seat has been reserved for your student in the selected class with Amy Craven Tutorials and you will receive an invoice for the non-refundable registration fee ($15) and tuition ($450). Payment is due upon receipt, unless you have requested the Payment Plan on this form.

The Payment Plan consists of three (3) monthly installments of $150 payable by check. The first payment is due upon receipt of the invoice ($150 + $15 non-refundable registration fee). The next two payments of $150 each are due monthly thereafter, with the entire amount due before the first class on August 20, 2020.

Payment Selection *
PayPal Email Address (if different from parent email address)
Refunds
In the event a student should drop the tutorial prior to the second class meeting, which is August 27, 2020, 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 class is canceled due to <4 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 and the date as an electronic signature to indicate your agreement with the above statements. *
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