Class/Course Registration Form
It's easy to register!

Just print out this page or the PDF file, fill in the information and mail it or fax it to:
Please write very clearly

Name:__________________________________________________________

Address:________________________________________________________

City_________________________ State:_______________ Zip:___________

Phone Numbers: ____________________ Cell:_________________________

Email: __________________________________________________________

Course or Class Name:_____________________________________________

Date of Course/Class:__________ Tuition: $________ Material Fee: $_________

Optional Donation: $_______ *Payment Plan: Yes No

Total: $_________

 

If paying by credit card (do not send via email):

Circle card used : Mastercard   Visa   American Express   Discover

Name on Credit Card: _____________________________________________

Billing Address of Card:____________________________________________

(If different from home address)

________________________________________________________________

 

Card Number: _____________/___________/_____________/_____________

Security Code (on back):_____________ Expiration:______/_______/_______

 

• Make checks payable to FourWinds Academy .
• Mail to FourWinds Academy , 7445 FourWinds Drive , Cincinnati OH 45242-5912
• Fax to 513-248-8773
• FourWinds Academy reserves the right to cancel or reschedule courses and classes.
• Cancellation Policy: Written cancellations (email) accepted up to 14 days prior to course or class commencement and incur charges of 10% of the tuition, balance to be credited.
• Credit expires after 360 days and can only be transferred once.
• Communication is done via email and students are responsible for ensuring that they know the date, time and location of the course/class 7 days before.
• Questions: Call (513) 891-8062 or email info@4windsacademy.org

*Payment Plan Explained: For courses in which tuition exceeds $150, you can pay in 3 installments, with the final installment in the same month as the course. Must provide either valid credit card details or post-dated checks.

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