ASHEVILLE LATIN SEMINARS
2012--2013
REGISTRATION FORM


NAME OF STUDENT______________________________________

AGE__________ DATE OF BIRTH________________________

GRADE IN SCHOOL FOR 2012--2013________

NAME OF PARENTS OR GUARDIANS__________________________________________

ADDRESS______________________________________________
STREET/P.O. BOX CITY ZIP

TELEPHONE________________________________________

E-MAIL_________________________________________ __(Please print clearly)

EMERGENCY CONTACT WITH TELEPHONE NUMBER___________________________________________________

CLASSES (Please indicate correct class with a check mark):

MON. __English History and Literature 8:45 ___ Latin III 11:15
___AP English Language and Composition 1:15

TUES. __ 3Rs I 9:00 __Latin I 11:15 __English History and Literature 1:15 (Class runs until 3:20)

WED. __Latin II 9:00 ___3Rs II 11:15 ____ Latin I 1:15

THURS. ___AP European History 9:00 ___AP Latin 11:15 ____AP English Literature 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.