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Course Registration

Fill out the following form and send/fax it to:

Francis School
Attn: Registration
4240 Amboy Road
Staten Island, NY 10308

Fax: 718-227-7766


Student Information

Last Name:                                                                         First Name:                                                     

Home Phone: (          )                                                     

Home Address:                                                                                                                                 

City:                                                                 State:                      Zip:                         

E-Mail Address:                                                                                              


Course Information

Insert the course code, name and price of the classes you would like to register for. Go to the price list page for a complete list of classes offered by the Francis School.

Course Code Course Name Price
           
           
           
   

Total:

   



Payment Information

Payment by check or money-order must be received within 7 days of registration. If you choose to be billed you will receive one within 2 days of registration which must be paid within 7 days of receipt. If the payment is not received the registration will be cancelled. If you have any questions contact billing at billing@francisvirtualschool.org

Check                        Money Order                       Bill Me