IMMANUEL GERMAN SCHOOL

Adult Registration 2010/2011

Name:
Address:
Home Phone:	Work Phone:
Cell Phone:	Email:

Please indicate which level class you would like to attend:

Beginner ___ Intermediate ___ Conversational ___

Classes are held every Saturday at Lower Moreland High School, 555 Red Lion Road, Huntingdon Valley, PA 19006, beginning on September 25, 2010 from 9:30 a.m. until noon and ending on May 7, 2011. Tuition ($425) and registration ($35) for the year is $460. This $35 registration fee will be waived if payment is made in full by September 15. Textbooks are not included.

Amount paid: _________ cash ___ check ___ Balance due: _________

___ Do not include my address and telephone number in the school’s student directory, which will be given to our families only.

___ Please check this space if you would like to receive a text message in the event of a school closing.

Please make checks payable to the Immanuel German School and mail with your completed registration to:

Karin L. Hazzard (Treasurer)

45 Farmway Drive

Richboro, PA 18954

Website: www.theimmanuelgermanschool.org

Email: Principal@theimmanuelgermanschool.org

Phone: 215-676-1170