MAIL THIS FORM TO MRS. WHITE WITH YOUR TEXTBOOK FEE. 

PLEASE SEE PARENT COPY WITH THE SYLLABI AND SUPPLY LIST FOR MORE INFORMATION.

WRITE RIGHT WITH MRS. WHITE, 2010-11

Terri White, instructor;  1011 Euclid St., Cleburne, TX 76033; 817-641-6093 (home); 817-648-1291 (cell); composition@charter.net  

See Parent form for more information.

Circle if paid:

         Textbook:  $25

         Tuition: $205/semester:  paid  - 1st     2nd

OR    Tuition: $45/ month: paid  -  August 

CIRLCE ONE:  

Composition I  (prerequisite: freshman and age 14 or older; grammar) 

Composition II  (prerequisite: Composition I – exceptions made on an individual basis) 

Composition III  (prerequisite: Composition II and a working knowledge of outlining)  

______________________________________________________________________________________________

Student name(s) and age(s)

___________________________________________                 __________________________________________

(Parent)                                                                                                        Date

______________________________________________________________________________________________

Address

____________________________________________                ______________________________

Home Phone                                                                                                Cell Phone

____________________________________________               ____________________________________________

 E-mail (student)                                                                                         E-mail (parent)