Student Name: ~(LastFirst)

Student Number: ~(Student_Number)

Grade Level: ~(Grade_Level)

 

ENRICHMENT WEEK 2009

REGISTRATION FORM

Saint Mary's College High School

Peralta Park, Berkeley, CA 94706

1st CHOICE
Title: ~(decode;~Eweek_Class_Choice1;)
Project #: ~(Eweek_Class_Choice1) Cost: $~(decode;~Eweek_Class_Choice1;)

 

2nd CHOICE
Title: ~(decode;~Eweek_Class_Choice2;)
Project #: ~(Eweek_Class_Choice2) Cost: $~(decode;~Eweek_Class_Choice2;)

 

3rd CHOICE
Title: ~(decode;~Eweek_Class_Choice3;)
Project #: ~(Eweek_Class_Choice3) Cost: $~(decode;~Eweek_Class_Choice3;)

Registration/Consent Form

"The undersigned parent/guardian acknowledges receipt of a copy of the Enrichment Week Course Catalog and hereby approves the enrollment of the above named student in any of the courses listed below on this registration form. This approval constitutes consent to pay the course fees for the specific course in which the student is enrolled. This approval also serves as a permission form that constitutes consent to the use of transportation provided by Saint Mary's College High School, as well as private or public transportation to or from off-campus locations, trips away from campus extending more than one day, and participation by students in the course activities as described in the Course Catalog."

 

Signature [parent/guardian]

Date