2022-23 Homeschool Plus Enrollment Form Fillable

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HOMESCHOOL PLUS

ENROLLMENT/RENEWAL FORM March 2022 – February 2023

Account Code (if known) Date Please check one:

E
  NROLLMENT
This is my first time enrolling
Father’s Name Mother’s Name Last Name
in Homeschool Plus.

Mailing Address City State Zip Country R


  ENEWAL
I have previously been enrolled
in Homeschool Plus.
Phone Fax E-mail

Enrollment Information
U.S. & CANADA  Enrollment / Renewal $195
Enrollment includes Teacher Training Materials for one parent.
INTERNATIONAL  Enrollment / Renewal $215
Deduct Longevity Credit* (if renewing) –

Training Materials for second parent or tutor (only available at this price when enrolling) $45
Learning to Read Training (only available at no charge when enrolling) No charge (check to order)

Student Service fees Number of students × $30


Subtotal
*Longevity Credit Renewing for the 2nd through 4th year $20
To encourage continuity in your educational Canadian GST
program and to show our appreciation for the Renewing for the 5th through 9 th year $35
privilege of serving you, we offer longevity credits TOTAL (USD)
Renewing for the 10 th through 14th year $50
based on your consecutive years of enrollment. Renewing for the 15th through 19 th year $65  Only a partial refund may be available on training
This credit is nonrefundable and may be deducted materials and services after 30 days from the invoice
above after verifying the amount with us. Renewing for the 20 th year and beyond $80 date. No refund will be available after 90 days.

Beginning and ending dates of your school year:  Begins / / Ends / /

List vacation weeks or months:

Payment Method  MasterCard  Visa  Discover  American Express  Cash/Check

- - -
Charge Card Number Expiration Date Signature

Student Information (List only those enrolling in the program or renewing services.) Grade for Graduating in
2022-2023 2022-2023
Last Name First Name Middle Name Birth Date M/F School Year School Year*

/ /
/ /
/ /
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Quarterly Progress Reports


*A $55 graduation
I plan to send Quarterly Progress Reports by e-mail. For complete enrollment info, visit fee is due before
I plan to send Quarterly Progress Reports by mail. www.christianlight.org/enroll graduation.

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