ASHEVILLE LATIN SEMINARS
2010--2011
REGISTRATION FORM

NAME OF STUDENT______________________________________
AGE__________ DATE OF BIRTH________________________
GRADE IN SCHOOL FOR 2010--2011________
NAME OF PARENTS OR GUARDIANS__________________________________________
ADDRESS______________________________________________
STREET/P.O. BOX CITY ZIP
TELEPHONE________________________________________
E-MAIL_________________________________________ __(Print clearly)
EMERGENCY CONTACT WITH TELEPHONE NUMBER___________________________________________________
CLASSES (PLEASE CHECK):
MON. __3Rs 9:00 (11--13 years old by September 1) ___ Latin I 11:15
___3Rs 1:15 (13--15 years old by September 1)
TUES. __ AP Latin 9:00 __AP U.S. History 11:15 ___AP English Literature 1:15
WED. __Latin I 9:00 ___World History and Literature 11:15 ____ Latin III 1:15
THURS. ___ Latin II 9:00 ___World History and Literature 11:15 (First spots go to Latin II students) ____AP English Language and Composition 1:15

N.B.: You must check the underscored line appearing BEFORE the course listed above to be properly registered for the seminar. If you check the wrong line, you risk being bumped from the class you wanted.