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Teacher Information

Name (First/Last): ("Jane Teachy")
School:
School Address (City, State, ZIP):

(Work) Phone Number (include area code): ("770-364-3443")
Cell Phone Number (include area code): ("770-364-3443")
Contact Email address (must be complete and correct else you cannot receive replies): ("name@address.end")

Language: ("Arabic")

Current member of FLAG (You must be a member in order to participate!):
[ Yes => ] [ No => ]

Student(s) Information:

(*) If students are participating as a group, please indicate the group number.

#	First Name	Last Name	Grade	(*) Group #
0	Jane	Doe	3	1
1
2
3
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10

Total number of students x $2 per student = total amount enclosed (you need to do the math yourself, the form cannot...).

• Make check (one only, please) payable to FLAG.
• NO REFUNDS for cancellations.
• Registration is conditional until full payment of all fees has been received!
• The STUDENT REGISTRATION FORM AND REGISTRATION FEES must be emailed and/or postmarked no later than April 13, 2012 to:

  Sandra Cleveland, Sharon Elementary School 2700 White Road, Loganville, GA 30052

Comments, questions...?

Click the following "Email" button only once, please. You will then be presented with a summary screen of the information that you entered here and that was emailed.