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700 Frederick St. #104, Santa Cruz, Ca 95062
Phone (831) 429-5987
Summer Classes 2008
Student Name:_________________________________________________________
Course Title(s):________________________________________________________
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Student's Birthdate:______________Student's Grade in Fall 2008:________________
Parent/Guardian:_______________________________________________________
Home Phone:_____________________ Cell Phone:___________________________
Work Phone:_____________________ Other:________________________________
Address:_____________________________________________________________
City:________________________ State:________________ Zip:_______________
Emergency Contact Name:_______________________________________________
Emergency Contact Number:_____________________________________________
Parent/Guardian Signature:_______________________________________________
Does the student have any allergies or other medical considerations?______________
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Registration Information
Writer's Workshop, Math Review, The Art of Being a Student, Keyboarding, Adapted Technology: Text-to-Speech, Adapted Technology: Dragon Naturally Speaking, Word Origins and Vocabulary Strengthening, and Adult Learning, Remembering and Thinking (ALeRT) - please contact DLS for the cost of these classes. We also offer various Independent Study Classes for credit and enrichment purposes. An SAT Prep class is TBA.
$100 Deposits are required to hold a space in a class and are non-refundable. The payment is due in full on the first day. Space is limited.
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Phone (831) 429-5987 Fax (831) 429-5993
Website: www.dls-learning.com