* indicates a required answer.
Student Name, Age:
Register in an afternoon class ( 1:00 – 3:30) if the need arises.
$30.00 per student
$35.00 per student on or after 10/29/12
Registration is not confirmed until payment is received.
Make checks payable to: NEPHS
NorthEast Portland HomeSchools
PO Box 68135
Oak Grove, OR. 97268
Email at: email@example.com
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