OAK MEADOW SCHOOL LOS ANGELES

Enrollment

First and Last Names of Students Enrolling                                                          Sex                         Birthdate                                Grade







Name of Parent(s)


Address


City


State

Zip



Telephone


E-Mail address


___ Re-enrollment

___ New Enrollment

I am enclosing the enrollment payment of $350.00*, which covers an academic year enrollment for grades 5-12 for all students in a family, for the students listed above. I understand that this fee does not include the tuition fee, which fees will be billed according to Contract (monthly, quarterly, or annually). All fees are non-refundable.


Signature


Date


Make enrollment check payable to Oak Meadow School, and mail along with this completed form to:

Oak Meadow School
23574 County Line Rd.
Chatsworth, CA 91311

If you have questions, call Terrence Kenney at Oak Meadow School at (818)704-1046.

* $300.00 if you have already paid the $50.00 Application fee.