Woodside Learning Center

www.woodsidelc.com

Class Registration

Please copy/paste & email completed form to: woodsidelc@gmail.com

or mail to: Cyndy McKinley 942, Baron Road, Waxhaw, NC 28173

STUDENT INFORMATION

Full Name of Child:
Child Prefers to be called:
Sex	Age	Grade
Child Email Address
At what grade level do you feel your child is reading?			Writing?
Comments About Your Child: (food allergies, social, educational issues, etc. )

PARENT INFORMATION

Parent or Guardian
Street Address
City	Sate, Zip
Phone (home or cell)	(others)
Parent Email Address
Other person to call in case of emergency (face-to-face only)

COURSE ENROLLMENT

Registration: Enrollment is first come first served. When a class is full, a waiting list will be created.

Please enrol my child in the following course(s):

Online

Face-to-Face

PAYMENT INFORMATION

Full tuition is due before the first class. Students will not have access to online materials until tuition is paid. No refunds after the third day of the session.

Sibling Discount:: First child: Full price. Each additional sibling: 15% discount. Applies when students enrol in the same course only.

I would like to pay by (please check one)

	Cash (in person ONLY)
	Check (Please make checks payable to Cyndy McKinley, mail to address above
	Paypal (An invoice will be emailed to you; 3% surcharge added)
Total Due:	$

LOCATION

Our face to face classes are held at a private home in Weddington, NC. Directions will be provided after registration is received.

Online classes meet at www.woodsidelc.com