Fall 2008

 


Fall Session - Fremont

Please review our Fees & Policies information.

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Contact Information

   

Student's First Name

 

MI 

Student's Last Name

Home Address

City

State 

Zip

Home Phone

Student's e-mail

Student status

 New        Returning

 

 

School

Grade in Sept 2008

 

 

Mother's Name

Mother's Work Phone

Mother's e-mail

 

 

Father's Name

Father's Work Phone

Father's e-mail

   

Class Information

   

Class #1 Title

Instructor

Day/Time

ID Number

Tuition: $

   

Class #2 Title

Instructor

Day/Time

ID Number

Tuition: $

   

Class #3 Title

Instructor

Day/Time

ID Number

Tuition: $

 
 
   

Tuition Total $

   

Amt. Enclosed $

   

Balance Due $

     

Date of Check

Check Number

 

Comments or
Questions

 

We will NOT process registration and place a student in a class UNTIL 1/2 of the tuition is received in our office.

Check or Cash: Please mail or bring tuition to:
The Mill Creek Academy, LLC, 1544 Washington Blvd., Fremont, CA 94539.

Visa/MasterCard: Available by phone or in person at Mill Creek Academy, LLC office.
 

 

 


 

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1544 Washington Blvd. Fremont, CA 94539
Phone: 510.353.0400 Fax: 510.353.0464

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