Course Registration

Submitted by admin on Mon, 03/08/2010 - 16:45

Welcome to secure on-line registration for The Eliot School.

Please read before proceeding:

Please fill out a separate form for each student.
Check current course listings individually to make sure the course you want is open, not full or cancelled.
We receive all registration forms in the order in which they are submitted. Registration is complete only with full payment.
We are in the office Tuesday-Friday, 10am-4pm.
If a class is full, cancelled, or re-scheduled, we will contact you about alternatives including refund, credit, or alternate classes.
If you wish to join a class at the last minute, you may show up and ask the instructor if space is available, but you accept the risk that the class may be filled, cancelled, or changed. Payment is required for attendance; you must submit registration and payment to your instructor if last-minute space is available.

Applicant: *

New Student

Returning Student

Contact Information

Student's Name: *

First

Last

Street Address: *

Street Address

Address Line 2

City

State

Zip Code

Best number to contact: * -

(###)

###

####

Your Email: *

We'll send confirmation here.

Student's Email:

If you're not the student (e.g. if this is a gift for someone else). We won't send confirmation here.

Student is a:

Child

Adult

Student's Date of Birth: * -

Day

Year

If under 18, please provide names and phone numbers of parents or guardians:

Emergency contact, in case of accident

Name: *

First

Last

Phone: * -

(###)

###

####

How did you hear about us?:

Please send next catalog by:

Please register me for the following classes (enter info from each course listing):

Course Code	Section/Day	Amount $
	/	$
	/	$
	/	$
Total Tuition $		0
Apply a Gift Certificate (include details below)		-$
Late Registration Fee: Register after 1 week before class starts, add $5		0
Applicable discount (See Policies). Yes I am eligible for 10% discount: any student age 65 or older full price for first family member, 10% off for each additional any current Eliot School teacher other - explain in Comments box, below		- 0
Please add my tax-deductible donation		$
Total Due $		0

Please add any comments here:

By submitting this form, you accept the Mollom privacy policy.

Course Registration

Contact Information

Emergency contact, in case of accident

Please register me for the following classes (enter info from each course listing):

REGISTER NOW