Writing Classes 2012-2013 Registration

							                  Writing Classes 2012-2013 Registration Type-In Form
Taught by: Kyra Gartrell                                readtowrite@earthlink.net                                        704-236-1249
                                                            Family Information
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Address:

City:                                                                  State:                      ZIP Code:

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Where did you hear about the writing classes?


                                                  Class Locations (with tentative dates)

                   Monday - Harrisburg – HB ………………………………………………………….. (8/20/12 - 5/13/13)
                   Tuesday - Crossroads (Concord) - CR …………………………………………. (8/21/12 – 5/7/13)
                   Wednesday - The Homeschool Room – (Matthews/Stallings) – HR …. (8/22/12 – 5/8/13)
                   Thursday- Sardis Baptist (Indian Trail) – SB …………………………………… (8/23/12 – 5/9/13)

                                                              Classes Offered
        WriteShop Jr. I - Book D (WS Jr. D)                        Intermediate Writing (WS II)
        WriteShop Jr. - Book E (WS Jr. E)                          Intermediate Writing, Lev. II (w/honors opt.) (WS II Lev II)
        Introduction to Writing (WS I)                             Literature Analysis and Composition (w/honors opt.) (LAC)
        Intermediate Writing, Lev. I (WS Lev I)                    Study Skills and Strategies (w/honors opt.) (SSS)
                                                                   Information Literacy & Writing a Research Paper* (RES)
                                                          * Add “H” after the class name if you are enrolling for the honors option

                                                           Student Information
                                                                                                                       Location (Initials)
                    Student Name                           Grade          Class Name (Initials)
                                                                                                                        (1st / 2nd Choice)




To Register: Complete the Entire Form / Sign Policy and Class Agreement Below / Submit Fees */ Mail

                   *Registration Fee (non-refundable)                                $25.00 (per student)
                                                                                                                              $
                          *Copy / Material Fee
                                                                                      See individual class
                                                                                                                              $
                                 *Facility Fee
                                                                                       $25.00 per family
                                                                                                                              $
                                                                            See Class Cost Chart or Individual Class
                          Class Payment in Full
                                                                                          Description                         $
                            st                                              See Class Cost Chart or Individual Class
                           1 Month Payment
                                                                                          Description                         $
Mail Form and Fees to:               Kyra Gartrell                                                                            Total Enclosed
                                     P.O. Box 3029
                                    Indian Trail, NC 28079                                                                    $
                           PLEASE READ THE REGISTRATION, FINANCIAL, AND CLASS POLICIES AGREEMENT
                                                     website – www.thewriterstoolbox.info

I ____________________________________________________ (print) have read, understand and agree with the registration, financial, and

class policy agreement.

                                                                                                                 Date:
Signature:
        Thank you for the opportunity to partner with you and teach your student(s) this school year.