Winter 2012

Classes meet Monday, February 6, 2012 - Monday, May 7, 2012

Please review our Fees & Policies information.

• 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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First Name: *

Last Name: *

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Address *

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Student's e-mail

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School *

Grade in September 2011 *

Mother's Name

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Mother's e-mail

Father's Name

Father's Cell Phone

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Course #1 Title *

Course #1 Time *

Course #1 Tuition *

Course #2 Title

Course #2 Time

Course #2 Tuition

Course #3 Title

Course #3 Time

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