New Registration Father's Name First Last Mother's Name First Last Home PhoneCell PhoneEmergency PhoneEmail Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 Name Registration 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 $50 per student, or $80 per family is due with this form; checks made payable to VERITAS CLASSES. 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 Type Credit Card Check Registration Fee Individual Student Family Registration The Registration fee is $80 per student or $100 per family. Registration Fee (Credit Card) Individual Student Family Registration The Registration fee is $82 per student or $102 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 ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 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 27244EmailThis field is for validation purposes and should be left unchanged.