OXFORD TUTORIAL SERVICE
                                PRINT-OUT REGISTRATION FORM
                                        Fall 2010--Spring 2011

Please register each student on a separate form and enclose a recent photo.

Student's Name______________________________________________

Parents' Name(s)____________________________________________

Street Address______________________________________________

City, State, Zip code_______________________________________

Phone Number(s)_____________________________________________

Parents' Email______________________________________________

Student's Email_____________________________________________

Student's Age____ Sex: M__ F__  Date of Birth___/___/___ /

Year of Grad.__________

How did you hear about Oxford?   ETS ___ Schola ___  Alexandria ___ World Magazine ___ 
Teaching Home ___ The Old Schoolhouse  ___ Academy Northwest ___ Oxford family   ___
Online Search  ___  Other __________________________________________________

Courses:    (All times Pacific Standard Time)

C.S. LEWIS: Fri. [   ]
GBT 1A: Mon. [   ]; GBT 1B: Thurs. [   ]
GBT 2:  Tues. [   ]   
GBT 3: Thurs. [   ]                       
LAT 1A: Mon. [   ]; LAT 1B: Thurs. [   ]
LAT 2: Weds. [   ]      
LOG A: Mon. [   ];  LOG B: Fri. [   ]          
RHET.   Weds. [   ]
SHAKES. A: Tues. [   ];  SHAKES. B.: Weds. [   ]
TOLK./LEW.: Tues. [   ]  
WRIT. WK.:   Wed. [   ]; WRIT. WK.: Fri. [   ]
 
REGISTRATION FEE & PAYMENT: The cost for the tutorials is $ 600.00 per/course.. A registration deposit of $ 200.00 per/course is required with the application to secure class placements. Tuition of $ 200.00/course for the Fall Semester is due by July 1; tuition of $ 200.00 for the Spring Semester is due by Dec. 1.  There is a $ 100 discount for registrations which are paid in full ($ 500). Payments are non-refundable except in the case of class cancellations.  To complete the registration and payment process please visit Oxford's Terms & Conditions.

ACCEPTANCE OF OXFORD'S TERMS & CONDITIONS: Before submitting this form please check this box to indicate that you have read * "Oxford Tutorials: Terms & Conditions" and are in agreement with the policies and requirments which are stated therein.  Thank you. * (The Terms & Conditions are posted at the top of the website.)    Checks are payable to Oxford Tutorials.  Please send registration and payment to: OXFORD TUTORIALS, 6500 NE 192nd Pl., KENMORE, WA. 98028-3458.