2009-2010 Cornerstone Classes Student Registration Form

1. Print one registration form. Multiple classes & students can be listed on one form.
2. Fill out this registration form and mail with one month's tuition to Bobby Frazier,
    231 Corpus Dr., Magnolia, Texas 77354.   Phone number: 281-685-5430
3. Your tuition check will not be cashed before July 1.
    Please make checks out to:  Bobby Frazier
4. If you have questions about a class, contact Mr. or Mrs. Frazier.


Please print neatly

1. Parents' Names: ____________________________________________

    Address: ____________________________________________________

    City/State/Zip: ________________________________________________

    Student E-mail: ________________________________

    Parent E-mail:________________________________

    Home Phone: _____________________

    Cell Dad: ________________________ Cell Mom: ______________________

    Emergency Contact: Phone:__________________________________________

2. Please enter Students Name and the specific name of the class listed on the schedule.

   
Student Name: ____________________Age:____ Male/Female   Birth Month/Year _______

    Class: ___________________ Class Day/Time: ___________  Monthly Tuition $________


    Student Name: ____________________Age:____
Male/Female   Birth Month/Year _______

    Class: ___________________ Class Day/Time: ___________  Monthly Tuition $________


    Student Name: ____________________Age:____
Male/Female   Birth Month/Year _______

    Class: ___________________ Class Day/Time: ___________  Monthly Tuition $________


    Student Name: ____________________Age:____
Male/Female   Birth Month/Year _______

    Class: ___________________ Class Day/Time: ___________  Monthly Tuition $________


    Total Monthly Tuition ____________




3. Church currently attending: _____________________________

4. ____I understand that the yearly tuition has been divided into 10 monthly payments
    (July through April). Therefore the full monthly tuition is due regardless of how many
    classes are taught in that month.

5. ____I understand that this is a full year commitment and have every intention of
    completing this class unless unforeseen complications arise such as illness,
    moving, loss of income, etc. I also understand that I should contact the teacher
    immediately in the event I need to drop the class or have trouble making a payment.
    I cannot drop the class after March 1st.


Thanks so much for the opportunity you have given us to serve you and your family as
we seek to serve the Lord by serving the home school community. May the Lord richly
bless you and your family!

In Our Lord's Service,
Bobby and Kim Frazier