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4-day Intro to Fiction Writing Class

Registration Form
Do you have a budding writer in the house? Does your child have great ideas, but needs help
expressing them? This summer come join our creative and collaborative 4-day Intro to Fiction
Writing Class. Please go to our website and discuss the requirement checklist with your child to
see if they are ready for this type of class. A signed registration form and a non-refundable
initial payment equal to 50% of the fee are required to reserve a spot in the class. Please
mail this form and the payment to our address below.
REGISTRATION INFORMATION
Students Name: ________________ Parents Name(s): ______________________Date:
Phone Numbers: (Home) _________________ (Cell) ____________
Address: ______________________________City: _________________________
Parents Email: ______________________
SCHEDULE, LOCATION, AND FEE
Location: Needham Presbyterian Church, 1458 Great Plain Ave, Needham, MA.
Dates: Tuesday, 7/21, Thursday 7/23, Tuesday, 7/28 and Thursday, 7/30.
Fee: $190.
Please check the box that applies to your child.
_____ I have a rising 5th or 6th grader Class runs from 10:00am 12:00pm
_____ I have a rising 7th or 8th grader Class runs from 12:30pm 2:30pm
_____ I have a rising 9th or 10th grader Class runs from 3:00pm 5:00pm

(Parent Signature)_______________________

(Date)____________________

Next Level Up 11 Walnut Street Needham, MA 02492 - 781.540.1123


info@nextleveluptutoring.com - www.nextleveluptutoring.com

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