TO ENROLL ONLINE see details at: www.youngrembrandts.com/ TO ENROLL BY MAIL-FAX PHONE- complete the registration form and MAIL-FAX-PHONE to our YR office... PARENT Name_____________________ Last______________________ Mobile________________________Home________________________ Home Address______________________________________________ City_________________________ State______ Zip________________ Email______________________________________________________ STUDENT Name___________________ Last______________________ Grade_________ Teacher____________________________________ My child will: be picked up other ____________________________________________ Other Emergency Contact First Name________________________ Last_____________________ Phone__________________________ Relationship_________________ School________________________ Start Date__________________ Class Day______________________ Class Time_________________ **PLEASE SEND A NOTE TO YOUR CHILDS CLASSROOM TEACHER** Make checks payable to Young Rembrandts - include child’s name and school. We accept MasterCard - Visa - Discover PHONE & FAX orders are Accepted May we photograph/video your child in class? Yes No Are you interested in being a parent volunteer? Yes Visa MasterCard Discover Credit Card _______________ / ______________ / ______________ / _______________ CCV________ Expiration____________ Charge my account in FULL I understand all personal absences are forfeited Charge my account 2 payments Initial______________ classes tuition held at Longwood Elementary dupage to 12/12/2016 9/12/2016 Monday 4:35 PM 3:35 PM to $ 88 Longwood Elementary 9/12/2016 3:35 PM Monday 10/10, 11/7, 11/14 for the 11 week session. 1 Grade - 4 FALL 2016 Mailing address: 1042 Maple Ave, Suite 343 Lisle, IL 60532 PH 630-493-4263 FAX 630-390-2338 50 / 50 payment plan available online! HOW IT WORKS: We provide all supplies. Classes are held in your school immediately after dismissal. Parents are responsible for prompt pickup when class is finished. **PLEASE SEND A NOTE TO CLASSROOM TEACHER** No Class *Distribution of information and materials through the school district does not imply District 204 endorsement*
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TO ENROLL ONLINE see details at: www.youngrembrandts.com/ TO ENROLL BY MAIL-FAX PHONE- complete the registration form and MAIL-FAX-PHONE to our YR office...
** Please do not send payments to school office - Enrollment information should be sent directly to Young Rembrandts **
PARENT Name_____________________ Last______________________
Mobile________________________Home________________________
Home Address______________________________________________
City_________________________ State______ Zip________________
Email______________________________________________________
STUDENT Name___________________ Last______________________
Grade_________ Teacher____________________________________
My child will: be picked up other ____________________________________________
Other Emergency Contact
First Name________________________ Last_____________________
Phone__________________________ Relationship_________________
School________________________ Start Date__________________
Class Day______________________ Class Time_________________
**PLEASE SEND A NOTE TO YOUR CHILDS CLASSROOM TEACHER**
Make checks payable to Young Rembrandts - include child’s name and school.
We accept MasterCard - Visa - Discover PHONE & FAX orders are Accepted
May we photograph/video your child in class? Yes No
Are you interested in being a parent volunteer? Yes
Visa MasterCard Discover
Credit Card _______________ / ______________ / ______________ / _______________
CCV________ Expiration____________ Charge my account in FULL
I understand all personal absences are forfeited Charge my account 2 payments
Initial______________
classes tuition
held at Longwood Elementary
dupage
to 12/12/2016 9/12/2016
Monday 4:35 PM 3:35 PM to
$ 88
Longwood Elementary 9/12/2016
3:35 PM Monday
10/10, 11/7, 11/14
for the 11 week session.
1 Grade - 4
FALL 2016
Mailing address:
1042 Maple Ave, Suite 343
Lisle, IL 60532
PH 630-493-4263
FAX 630-390-2338
50 / 50 payment plan available online!
HOW IT WORKS: We provide all supplies. Classes are held in
your school immediately after dismissal. Parents are responsible for prompt pickup
when class is finished. **PLEASE SEND A NOTE TO CLASSROOM TEACHER**
No Class
*Distribution of information and materials through the school district does not imply District 204 endorsement*
Cómo funciona: Nosotros proporcionamos los materiales y a los maestros entrenados y calificados. Las clases son inmediatamente al finalizar el horario escolar. Los padres son respon-sables por el transporte al finalizar la clase.
Para registrar en línea, visite www.youngrembrandts.com/ para registrar por correo, complete la forma y envíelo a la dirección al fondo con su cheque
Nombre de estudiante _____________________________________________________ Escuela ______________________________ Dia de empiezo ______________________
Nombre de padre _________________________________________________________ Dia de clase ___________________________ Hora de comienzo ____________________
Dirección _______________________________________________________________ ¿Podemos usar el arte de su hijo/a como ejemplo? [ ] Sí [ ] No
Cuidad ___________________________ Estado _________ Zonal Postal _________ ¿Podemos tomar foto de su hijo/a en clase? [ ] Sí [ ] No
Correo electrónico _________________________________________________________ Entiendo tambían que todas las ausencias personales se pierden.
Grado _______ Fecha de nacimiento ______________ Maestro/a _________________ Firma ___________________________________________________________________
Llame en casa _____________________ Teléfono de travajo _____________________
Numero de celular __________________ Teléfono de emergencia _________________ Extienda un cheque a favor de Young Rembrandts e incluya su nombre de niño/a y
Mi hijo/a: [ ] será recogido [ ] caminará a casa [ ] otro _______________________ la escuela en el cheque. Aceptamos Mastercard y Visa.
Acredite Tarjeta con el Número __________/__________/__________/_______________ Fecha de expiración ______________________________________ [ ] MC [ ] Visa
Nombre _________________________________________________________________ Firma __________________________________________ Fecha __________________
(como se ve en la tarjeta) [ ] Carge mi cuenta el sueldo complete [ ] Carge mi cuenta mensualmente Cobro ________________
Las clases se llevan a cabo
Costo classes tuition
held at Longwood Elementary
dupage
to 12/12/2016 9/12/2016
Monday 4:35 PM 3:35 PM to
$ 88
Longwood Elementary 9/12/2016
3:35 PM Monday
10/10, 11/7, 11/14
for the 11 week session.
1 Grade - 4
FALL 2016
Mailing address:
1042 Maple Ave, Suite 343
Lisle, IL 60532
PH 630-493-4263
FAX 630-390-2338
50 / 50 payment plan available online!
No Class
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