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Satellite Middle & High School 8 Westowne Street, Suite 800 Liberty, MO 64068 (816) 415-4822 fax (816) 792-1574 REGISTRATION & ORDER FORM and the National Private Schools Association Group.
Date:
____________________
Student's Name: ____________________________________________________________ Student's Date of Birth: ______________________________________________________ Parent/Legal Guardian's Name(s): _______________________________________________ Student’s Address: ___________________________________________________________ City/State/Zip: ______________________________________________________________
Cell or Work Phone Number: (______)_____________________________________ Student's Current School: ________________________________________________ Student's Current Grade Level: ____________________________________________ School's Address: ______________________________________________________ School's City / State / Zip Code: ___________________________________________ School's Phone Number: _________________________________________________ School's Fax Number: ___________________________________________________ Select one: _____ this course will be returned to your current school (ex. credit recovery, course acceleration, etc.) Students who choose not to take their exams at our local center in Liberty, Missouri must find a teacher or counselor Proctor's Name: __________________________________________________ This proctor
is: ______ an administrator ______ a
counselor ______ a teacher ______ other Proctor's school address (where the exams will be mailed): Name of the School: _____________________________________________ School's Address: _______________________________________________ School's City / State / Zip Code: _____________________________________ School's Phone Number: __________________________________________ School's Fax Number: _____________________________________________ OR ________ I will be taking my exams at the Satellite center in Liberty, MO. Select
one: ______ paying for registration and indicated courses at this time ______ registration already paid, only paying for courses at this time-courses must be paid for when they are ordered-no course will be shipped prior to payment Courses cost $69 per 1/2
credit (a semester), $138 per whole credit (both semesters). STUDENTS
MAY ORDER JUST SEMESTER ONE, JUST SEMESTER TWO, OR BOTH OF ANY FULL CREDIT
COURSE AT ANY TIME. No refunds or exchanges
are allowed after 5 business days; a sample chapter of any course may be
ordered for $4. Payment methods: credit card, debit card, money order, or
cashier's check payable to Satellite Middle & High School. No personal checks accepted.
Total amount enclosed: _______________ *For
credit card payment: Select one: _____ Visa _____ MasterCard _____ Discover Account number: _____________________________ Expiration date: ____________Security code (3 digit number on the back of the card): __________________________ Name
as it appears on the card: _____________________________________________ Billing address of cardholder: _______________________________________________ Please circle which course(s) and semester(s) you are ordering at this time. Students may order just semester 1 or 2 of any course at any time. Thank you for your order! Satellite
High School Courses: Grades
9-12 Students
may order ANY semester of ANY course at ANY time! Click on the link for high school descriptions or middle school descriptions
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Satellite Middle School
Courses
Grades 6-8
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MIDDLE SCHOOL COURSES |
Semester(s) |
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GRADE 6 |
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Language Arts 6 |
1ST
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2ND
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World History |
1ST
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2ND
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Integrated Math 6 |
1ST
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2ND
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Integrated Science 6 |
1ST
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2ND
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GRADE 7 |
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Language Arts 7 |
1ST
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2ND
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U.S. Government & U.S. Presidents |
1ST |
2ND
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Integrated Math 7 |
1ST
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2ND
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Integrated Science 7 |
1ST
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2ND
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GRADE 8 |
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Language Arts 8 |
1ST
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2ND
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U.S. History |
1ST
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2ND
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Integrated Math 8 |
1ST
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2ND
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Integrated Science 8 |
1ST
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2ND
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