Schoolhouse of the Groves

Registration Form

Parent/Guardian ______________________________________________________________________

Student      _____________________________________ Date of Birth __________   Grade ______

Student      _____________________________________ Date of Birth __________   Grade ______

Student      _____________________________________ Date of Birth __________   Grade ______

 Address ______________________________________________________________________________

City/State/Zip   _______________________________________________________________________

Home phone   _____________________________ Cell phone ______________________________

Parent’s e-mail _______________________________________________________________________

 Write each child’s name next to the intended class:

History Classes

Colonial America         ________________________________________________________________

19th Century America _________________________________________________________________

Block Building Classes

Reading   ______________________________________________________________________________

wRiting  _ ______________________________________________________________________________

Rithmetic ______________________________________________________________________________

Art Classes

Elementary ____________________________________________________________________________

Middle School _________________________________________________________________________

Mini Series (Please list class(es) title with student names.)

________________________________________________________________________________________

 Total class fees per semester:

Colonial America                                $200.00               MINI SERIES

19th Century America                       $250.00               Event Planning                 $80.00

Reading                                               $150.00               Project Development      $80.00

wRiting                                                $150.00               Animal Behavior               $80.00

Rithmetic                                            $150.00                Kid Fun                              $40.00

Art elementary                                   $230.00               Continental Cooking     $100.00 

Art Middle School                              $230.00               Comedy Improv                $80.00

Summer Class: Shake It Off!            $160.00               Gardening                          $80.00

Summer Camp                                    $75.00                 Autonomics                      $40.00 

                                                                                          NASCAR Racing                  $80.00

Students dropping the course after registration and prior to the start of the course, can expect to receive a refund, minus a $25 administration fee.

 Make all checks payable to:

Cindra Barnes

2640 S Myrtle Ave.  #A-7

Monrovia, Ca 91016