Application 2011-2012 Application 2011-2012 Heber J. Grant Academy

Student #1
Student Name:   
Age:             Birth Date:   
Grade in School:              Male       Female   
Student #2
Student Name:   
Age:             Birth Date:   
Grade in School:              Male       Female   
Student #3
Student Name:   
Age:             Birth Date:   
Grade in School:              Male       Female   
Parent Information
Parent's Names:  
Address:   
City:          State:          Zip:   
Home Phone:            Work Phone:   
E-mail:   
Emergency Contact: 
Emergency Number: 
Fees
The yearly registration is $50 and is payable at the time a student registers. The yearly (9 month) tuition fee is $990. This may be paid in monthly increments of $110. Tuition is due on the 15th of each month. Payments must be received by the Grant Academy by the 25th of each month, or a late fee of $10.00 will be assessed. Family rates are also available: $110.00/month for the first child, $100.00 for the second and $90 for each child therafter.
Senior Class
Qty Total
Registration ($50.00)
Saxon Math Book
Saxon Math Book
Saxon Math Test / Answers ($30.00)
Saxon Solutions Manual (optional)
Saxon Solutions Manual (optional)
D.I.V.E. into Math CD($50.00)
Jensen's Vocabulary (Latin II) ($32.00)
Spelling ($5.00)
Jensen's Format Writing ($22.00)
World Atlas ($12.00)
Map Materials ($12.00)
Drawing Supplies ($15.00)
Italic Handwriting Book G ($10.00)
A Child's History of England ($10.00)
Drawing Workbook ($10.00)
Math Box ($16.00)
Grant Academy T-Shirt ($17.00 if needed)
Tuition ($110.00)
   Total

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