I. Parent Information
* Required Field
* Parent last name:
* Parent first name:
* Phone number:
* Email:
II.a. Monday Program Registration
* Student Last Name:
* Student First Name:
* Student birth date
Male
* Age: * Grade:
1st
2nd
3rd
4th
5th
6th
7th
8th
Female
1. Choose Monday classes.
9:00 - 9:50 a.m.
(Choose Math 1-3 or Handwork 4-8)
Math Gr 1-3 ($165)
Handwork 4-8 ($165)
(Choose Handwork 1-3 or Meteorology 4-8)
Handwork 1-3 ($165)
Meteorology Gr 4-8 ($165)
Break 10:45 - 11:00 a.m. (For students enrolled before & after, no extra charge for supervised breaks.)
(Choose Painting 1-3 or Music 4-8
Painting Gr 1-3 ($170)
Choir / Flute Gr 4-8 ($165)
11:00 - 11: 50 a.m.
Lunch 11:50 a.m. - 12:20 p.m. (For students enrolled before & after, no extra charge for supervised breaks.)
12: 20 - 1:10 p.m.
(Choose Music 1-3 or Painting 4-8)
Choir/Flute Gr 1-3 ($165)
Painting Gr 4-8 ($170)
(Choose Games, Drama or Woodworking)
Games 1-4 ( $160)
Drama 4-8 ($165)
Woodworking 4-8 ($165)
(Choose Esperanto, Drama or Blacksmithing)
Esperanto Gr 1-6 ($115)
Drama Gr 1-3 ($165)
Blacksmithing Gr 4-8 ($175)
II.b. P entathlon Training -- 12 weeks, 2 hours
P entathlon Training
(None selected)
Prior to 12/1/12 -- $340
Prior to 1/3/13 -- $365
After 1/3/13 -- $385
* 2. Enter Subtotal
(Choose one)
3 classes (- $24)
4 classes (-$40)
5 classes (-$60)
6 classes (-$100)
3. Enter discount if registering for 3 or more classes.
4. Pay any required deposits:
(None selected)
$50 non-refundable deposit
* 5. Enter Subtotal after any deposit or discounts:
If you are using charter school Sandi for payment arrangements.
6. Deduct an additional 10% if you are a Self-Paying family.
* 7. Enter TOTAL AMOUNT DUE for Monday Program:
III. Cancellation Policy & Forms
Cancellations / Refunds / Withdrawals As a small business, changes and cancellations affect us significantly. If you have any questions about the Class change request s (after submission of original registration form) will incur a $15 change fee. Refunds or credits are not issued for classes not attended. Cancellations: If you wish to cancel a registration, you must notify the WLR Program Director in writing at [email protected] . Refunds or credits will be given as follows: 90% refund or credit for cancellation 10 days or more before first class meeting 85% refund or credit for cancellation 2-9 days before first class meeting 80% refund or credit for cancellation 48 hours or less before first class meeting Withdrawals: Withdrawals after the first class meeting will be allowed a 75% refund or credit. Withdrawals after the [email protected] ). Wholistic Learning Resources reserves the right to cancel, postpone or combine courses, or change
I have read and agree to the WLR Cancellation Policy. Enter an X in the box to the left WLR recommends that you print this page before hitting the SUBMIT button below.
*
In addition to the Cancellation Policy above, please read and complete the required forms . (If you completed these forms for the Fall 2012 session, you do not need to Mail forms: to P.O. Box 19676, Sacramento, CA 95819, or fax to 1) Conditions of Participation (1 per family) equired by Liability Insurance carrier.)
IV. Payment
COUPON CODE:
* PAYMENT TYPE:
Self-paying families Mail check or money order to: Wholistic Learning Resources (If you would like to use PayPal, for invoice.)
Horizons and Visions in Education Charter families: Your registration is not complete until you submit voucher(s) for each class your Be sure to BRING Voucher to the FIRST DAY OF CLASSES.
South Sutter Charter School families: Your registration is not complete until the P.O. is received by WLR. Contact your teacher Be sure to give your ES the TOTAL AMOUNT DUE.
V. Comments & Send Form
Comments: Please include any special needs
You may wish to PRINT THIS PAGE for your records before hitting 'Send.' Be sure to notate
Questions? Call Sandi at (916) 606-0799.
