If you're paying via check or money order, simply print this page and write in the required information and mail the payment and enrollment sheet.

If you're paying for the course via Pay Pal you must email the enrollment form. Click here and your email program will open a new message with the address and subject line already filled in. Then return to this page and copy the contents into the new email message. To do this, go to the top of your browser, click on "Edit" then "Select All." Then, right click over the highlighted text and select "Copy" then paste the text into the new email message. Fill in the required information and then send it.

U.S. FUNDS ONLY

Mail to:

Mrs. Gwen Simmons

17346 Highway J29

Centerville, Iowa 52544

If you have any questions, e-mail: igd77@lisco.net

• U.S. Students - $110
  
• Outside the U.S. - $115
  
• Families may deduct $5 for each additional student. For example, the first child would cost $110, the second child $105 and the third child would cost $100.
  

Name of Student:

Age and Grade:

Parent's Name:

Student's Hobbies and interests:



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