Schaeffer Home School Cooperative
2008-2009
Sign-up Form

Please provide the following contact information:

First Name
Last Name
Parent Name:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Parent E-mail

Please check all of the courses that you are interested in signing up for:

High School Interpreting Literature on the Silver Screen - An Analysis of What Screenwriters Chose to Write into a Script (Tuesdays from 9am-11am)
High School World Regional Geography (Tuesdays from 11:15am-1:15pm)
The Master Storyteller: Understanding Literature To Successfully Write Fiction (Thursdays from 11:15am-12:45pm)
Mock Trial (Thursdays from 1pm-2:15pm)
Junior World Regional Geography (Fall 2008) (Wednesdays from 10am-12noon, Fall Semester only)

Please check the appropriate boxes:

Date of Birth
Sex	Male Female

Grade in School (as near as possible)

Are you aware that these courses may be on different days of the week?

Yes
No

Please list any additional emails that the student may use (very helpful for the teacher):

Student E-mail

These courses each incur a cost of their own. Be careful to assess this cost carefully before signing up. If you are aware of the individual course costs are you willing and able to pay these cost? Please answer yes or no and also use this spot to write any questions or concerns.