Registration & Enrollment
The Hills Fine Arts Academy
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Enrollment for (Please circle one): Fall Semester Spring Semester
One application per student, please.
Student’s Name_________________________________Birthdate________________Male___Female___
Address_______________________________________________________________________
Parent’s Name__________________________Home Phone___________Work/Cell__________
Do you attend church?________If yes, which church?__________________________________
Student’s school___________________________________________Grade________________
Proposed area of study________________________Previous study in this area______________
$10 registration fee must accompany this form. Make checks payable to The Hills Fine Arts Academy. Mail to:
Academy Director Nicole Ray
Cherokee Hills Baptist Church
5700 NW 63rd Street, Oklahoma City, OK 73132
Questions Call 602-6472 or e-mail david@davidandnicoleray.com
I have read and agree to abide by the policies stated in the brochure.
___________________________________ ____________________________________
Signature of Student Signature of Parent
Office Use Only: Date Rec’d__________ Check #/Amt____________ Instructor_____________