Artesian Wells Classical Tutorials

Registration Form

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ARTESIAN WELLS CLASSICAL TUTORIALS ONLINE REGISTRATION FORM
Fall 2016-Spring 2017

First contact our registrar, Emily Wells, by e-mail (emily at artesian-wells.com) to check space availability. Then print, fill out, and mail this form with your check. Register each student on a separate form.

Student's Name__________________________________________________________
Parents' Name _________________________________________________________
Student's Date of Birth ____________________________________________________
Street Address __________________________________________________________
City, State, Zip code ______________________________________________________
Phone Number __________________________________________________________
E-mail Address (parent)_____________________________
E-mail Address (student)_____________________________

How did you hear about this course?___________________________________________

Check the course(s) for which you are registering. All times are pacific time.

_____ Latin 1 -- Thursday,
7:00-8:50 a.m.

_____ Latin 3 -- Tuesday, 7:00-8:50 a.m.

_____ National Latin Exam Preparation Course ($100) 


TOTAL AMOUNT ENCLOSED__________________________________ (see fees description on registration page )

Fees do not include books or software. All payments and deposits are non-refundable due to server lease commitments. Please make checks payable to Artesian Wells. Mail this form with payment to:

Artesian Wells
609 N. Almon #2016
Moscow, ID 83843