Online A La Carte Class Registration Form

Student Name

Parent Name

Parent Email

This address will receive a confirmation email

Student Email (if student has one)

Parent Phone

Address

Which class(es) would you like to register for? Please list the course as named in the catalogue exactly. If unsure, please write unsure.

I acknowledge that taking online a la carte classes through Streams of Hope Christian School does not mean my student is enrolled at Streams of Hope Christian School. My student is considered a homeschooled student.

Through online a la carte classes, Streams of Hope Christian School is providing tutoring and homeschool enrichment classes and is responsible for providing tutoring and grades for online classes only. All attendance records must be kept and recorded by the parent/legal guardian according to Indiana Law.

I acknowledge and agree to the above.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Online A La Carte Class Registration Form

Description

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