Student's Name__________________________________________________________
Parents' Name _________________________________________________________
Student's Date of Birth ____________________________________________________
Street Address __________________________________________________________
City, State, Zip code ______________________________________________________
Phone Number __________________________________________________________
E-mail Address (parent)_____________________________
E-mail Address (student)_____________________________

How did you hear about this course?___________________________________________

Check the course(s) for which you are registering. All times are pacific time.

_____ Introduction to Latin -- Tuesday and Thursday, 8:00-8:50 a.m.

_____ Latin 1: Section A -- Monday, 8:00-9:50 a.m.

_____ Latin 1: Section B -- Tuesday, 10:00-11:50 p.m.

_____ Latin 2: Section A -- Monday, 10:00-11:50 a.m.

_____ Latin 2: Section B -- Tuesday, 1:00-2:50 p.m.

_____ Latin 3 -- Wednesday, 8:00-9:50 a.m.

_____ Latin 4 -- Wednesday, 10:00-11:50 a.m.

_____ Logic -- Tuesday, 9:00-9:50 a.m.

_____ Introduction to Great Books -- Monday, 1:00-2:50 p.m.

_____ Great Books 1 -- Thursday, 10:00-11:50 a.m.

_____ Great Books 3 -- Thursday, 1:00-2:50 p.m.

_____ National Latin Exam ($30 - registration available through December 1)

TOTAL AMOUNT ENCLOSED__________________________________ (see fees description on registration page )

Fees do not include books or software. All payments and deposits are non-refundable due to server lease commitments. Make checks payable to Artesian Wells. Mail this form with payment to:

Artesian Wells
609 N. Almon #2016
Moscow, ID 83843