Parent Name:________________________________________________________________________

Address:____________________________________________________________________________

City:______________________________________________________________________________

State:______________________________________________Zip:____________________________

Phone:____________________________________________Email:___________________________

Number of children you wish to enroll?___________________Grade levels:______________________

How long do you plan to homeschool your child(ren)? _____________________________________

Should you decide to enroll with BayShore School, would you be paying the tuition in full upon the time of enrollment? Y N

Those who make payments are subject to a service charge of $40.00 in addition to the tuition.

Please enclose a check or money order (payable to BayShore School) in the amount of $20.00. This fee will be applied to your enrollment, if it is submitted during the current academic year. The fee is non-refundable if you decide not to enroll. There is a $20.00 fee for bank-returned checks - this is not applicable toward tuition.

______________________________________________________________________________________
Your signature Date

Print and mail this form and your check/money order for $20.00 to:
BayShore School P.O. Box 13038 Long Beach, CA 90803

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