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10038 Manchester Rd. Suite 210, Glendale, MO 63122
Call: (314) 695-4331
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Home School Classes
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Student and Class Information
Pre-K and Elementary level classes
run for 8 weeks.
Tuition includes
all materials needed for the class.
Pre-K Age:
3 to 6 years old
Elementary Age:
7 to 11 years old
There must be a
minimum of three (3) students enrolled
for a class to run.
Student and Class Information
Student Name
*
First
Last
Class Selection
*
Fall 1 - 8 weeks
Available Sessions
*
PreK Tuesday- 10 am
Elem - Tuesday- 11:30 pm
PreK - Thur - 10 am
Elem - Thur - 11:30 am
Are other siblings enrolled?
*
Yes
No
5% sibling discount for multiple registrations
Are Other Siblings Enrolled?
*
Yes
No
5% discount for multiple registrations
Age
*
Grade level
*
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5 and above
Parent/Guardian Information
Name
*
First
Last
Parent Phone
*
Parent Email
*
Emergency Contact - SHOULD BE DIFFERENT THAN REGISTRANT
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
Name(s) of those authorized to pick up your child:
Please explain any allergy or dietary restrictions:
Do you authorize a photo release for yourself or on behalf of your minor?
*
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