Lebanon Area Homeschoolers
Fine Arts Enrollment Form

FAMILY INFORMATION:

All fields in this section are required
Last Name: Father: Mother:
Address:
City,state,Zip:
Telephone: Email:
Cell Number: Emergency Contact Name/Phone:

CHILD/CLASS INFORMATION:

Student's Name
Child's Grade

Fine Arts Classes 9:00am-12:00 pm (Grades Birth through Adult)

1st Hr. 9:00
2nd Hr. 10:00
3rd Hr. 11:00

Fine Arts Classes 12:30-3:30pm (Grades 7th through Adult)

4th Hr. 12:30
5th Hr. 1:30
3rd Hr. 2:30
 
Class fees $ $ $ $ $ $

ENROLLMENT/CLASS FEES:

Fine Arts family fee $24.00 Per semester: $

Class Enrollment is Accepted on a First-Come Basis

Class Fees are Non-Refundable

*Payment Options: Pay Full Amount at Enrollment or
Half at Enrollment and Ballance by 4th Session
Total Class Fees (if applicable): $
Total Amount Due: $