New Registration Father's Name First Last Mother's Name First Last Home PhoneCell PhoneEmergency PhoneEmail Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ChildrenNameBirthdateAgeGrade Click the plus to add multiple children.Does your child(ren) have any medical conditions we should know about? If so, please give a brief description.Home School NameRegistration AgreementI agree to abide by the policies of VERITAS as determined by the advisory board and implemented by the director. I understand that VERITAS is not a school and does not provide a legal covering for homeschooling. I am individually responsible for my relationship to my local school board and the State of North Carolina regarding homeschooling. Our homeschool is currently in compliance with the state of North Carolina Department of Non Public Education. I understand that tuition payments are to be made on the first class of the month, and that a $15.00 late fee is due if tuition is received after the 10th of the month. I have received a copy of the FAMILY GUIDELINES. I understand that a NONREFUNDABLE annual registration fee of $30 per student, or $50 per family is due with this form; checks made payable to VERITAS CLASSES. ($5 added to total after July 31st.) I release VERITAS, Antioch Community Church, the administrators, and the instructors from responsibility for any loss or injury that may occur while my child is attending VERITAS. I understand that classes at VERITAS will be taught and administrated by Christians who submit to the following statement of faith: We believe in the one true God. He is revealed to us as Father, Son and Holy Spirit, three distinct persons but without division of nature, essence or being, and each having a distinct ministry in God’s relation to His creation and people. We fully accept the writings of the Old and New Testaments as the inerrant Word of God, verbally inspired in all parts and therefore altogether sufficient as our only infallible and authoritative rule of faith and practice.* I agree with the registration agreement above Registration FeesPayment TypeCredit CardCheckRegistration FeeIndividual StudentFamily RegistrationThe Registration fee is $30 per student or $50 per family. If you register after July 31st, please add $5 to your fee.Registration Fee (Credit Card)Individual StudentFamily RegistrationThe Registration fee is $30 per student or $50 per family. If you register after July 31st, please add $5 to your fee. A $2 transactional fee has been added to the registration fee.Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Make your check out to “Veritas Classes”, and mail your registration fee to: Veritas Classes 1600 Power Line Rd. Elon, NC 27244 This iframe contains the logic required to handle Ajax powered Gravity Forms.