Living Well College Fall 2004
Registration Form
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Student: |
Birthdate: |
Social
Security Number: |
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Address: |
Phone: |
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Parents: |
Home
Phone: |
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Parent’s
Address: |
Work
Phone: |
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Name of Course or Program (Circle Courses you are
registering for) |
Day and Time |
Monthly
Tuition + Fees |
Enter Tuition and Fees of
courses you are registering for. |
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Physical
Excellence |
Monday
10:00-11:00 |
$15
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Expressive
Art |
Monday
11:00-12:00 |
$20+$15
=$35 |
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Lunch
Bunch (Bring a sack lunch) |
Monday
12:00-12:45 |
0 |
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LW
Volunteer Group |
Monday:
12:45-3:00PM |
$15 |
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Computers |
Thursday
9:00-10:00 |
$20+$5=$25 |
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Business
Initiatives |
Thursday
10:00-11:45 |
$10+$5=$15 |
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Shopping |
Thursday
11:45-12:15 |
$5 |
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Cooking
Class |
Thursday
12:15-1:30 |
$15+$20=$35 |
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Swimming |
Thursday
1:45-3:00 |
$15 |
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Community
Discovery Field Trip: Johnson City Zoo Bring
money for admission ($9.95) |
Tuesday
Sept. 7th |
$10 |
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Community
Discovery Field Trip: Fishing |
Saturday
Sept.25th |
$10
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Community
Discovery Field Trip: Put-Put Golf Bring
$7.50 for two games |
Tuesday
Oct. 5th |
$10 |
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Community
Discovery Field Trip: Enchanted Rock Bring
a sack lunch |
Saturday
Oct. 23rd |
$10
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Community
Discovery Field Trip: Movie Bring
$ for movie and snacks |
Tuesday
Nov.9th |
$10 |
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Community
Discovery Field Trip: Kerrville Mall and Arcade: Bring money for Christmas shopping |
Tuesday
Dec. 7th |
$10 |
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Tuition will be due on the
1st of each month (if not prepaid for the semester) Total Tuition
and Fees: |
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Annual Registration Fee $25 (If not already paid) |
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TOTAL |
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Registration
begins August 5th. Make Checks payable
to Living Well.
Living
Well College · phone (830) 990-4799 · 403 W. Schubert · Fredericksburg, Texas 78624