Schaeffer Home School Cooperative
2010 - 2011
Sign-up Form

Please provide the following contact information:

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

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

High School Political Science ( Fall 2010, Tuesdays from 10am-12noon)
High School Literature & the Silver Screen ( Spring 2011, Tuesdays from 10am-12noon)
Spanish 1 (Full year) (Tuesdays from 1pm-3pm)
Fundamentals of Digital Photography (Fall Semester, Wednesdays from 10am-12noon)
Advanced Digital Photography (Fall Semester, Wednesdays from 12:30pm-2:30pm)
Effective Writing (Full Year, Thursdays from 10:45am-12noon)

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? May not be applicable for some people...

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. Refunds are not given unless there are extreme circumstances such as illness or relocation. In these cases a pro-ration will be determined between the instructor and the parent.