Nielsen's House of Learning
Meeting the educational needs of students, teachers, and parents.
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Pre-Registration Form
You will need to complete the hard copy registration form and submit a $25.00 registration fee upon enrollment.
Tuition is due on the 25th of each month
.
We accept: Cash, Checks, Visa, & Mastercard
Date of application
First and Last name of Student
Student Date of Birth
Grade Level
Parent(s) Name:
Phone Numbers including area code and type (home, cell)
Address
email address/ indicate whose (Mother/Father)
Has your child been diagnosed with any learning disabilities? If yes, please describe
Please indicate which classes your are pre-registering your child for: Tutoring (subject(s); Math, Reading, other
Summer School Classes - Please note that Summer classes include all of the classes indicated. If you prefer your child to be enrolled in only one or two classes, we will be happy to enroll them as a tutoring student. :)
Royal Christian Academy - This is a pre-registration form only. Please download the Royal Christian Academy applicaion - link below.
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