Registration Name * Required First Last Address (If different from last year) 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 Phone * Required Can this phone receive texts? * Required Email Arts and Sciences 100 – THE NETHERLANDS- We will explore and experience the rich history, geography, and culture of this small but intriguing nation. Rank your choice of class times by selecting below.First choiceWednesday 9:30 am-11:15 amWednesday 11:30 am- 1:15 pmThursday 10 am- 11:45 amThursday 12:30 pm-2:15 pmFriday 1 pm-2:45 pmSaturday ZOOM 10 am - 11:30 amSecond choiceWednesday 9:30 am-11:15 amWednesday 11:30 am - 1:15 pmThursday 10:00 am- 11:45 amThursday 12:30 pm-2:15 pmFriday 1 pm-2:45 pmSaturday ZOOM 10 am - 11:30 amThird choiceWednesday 9:30 am - 11:15 amWednesday 11:30 am - 1:15 pmThursday 10:00 am- 11:45 amThursday 12:30 pm-2:15 pmFriday 1 pm-2:45 pmSaturday ZOOM 10 am - 11:30 amCreative Writing Friday 11 am -12:30 pm Limited to 10 students. This class will enhance and encourage students who are interested in exploring and advancing in their writing skills. We will be exploring different genres of writing and provide encouraging support of the writing process. Due to limited size look for final confirmation. Human Anatomy Lab (Free to those in a tuition based class) Friday 11 am -12:30 pm (2 dates TBD) Limited to 15 students Check if interested. Due to limited size look for final confirmation. Join GRCC professor Leigh Kleinert and her students to learn about the skeletal, muscular, nervous, and cardiovascular systems in a lab setting. Students will work closely with a GRCC student for TWO fun and informative lab experiences. There is no cost for this class.Aktion Club (Free to those in a tuition based class) First Thursday of every month 11:50- 12:20 pm In partnership with the Grand Rapids Kiwanis Club, we offer this FREE leadership club with a focus on serving GRCC and the community in creative ways. Health and Fitness (Free to those in a tuition based class) Friday 11:30 - 12:30 In partnership with Special Olympics of Michigan we offer FREE SOMIfit. It is a health and fitness program that includes 15 minutes of health education and 45 minutes of an inclusive workout each week. All fitness levels are welcome to join! This class is perfect for anyone looking to learn more about their health and be involved with a community of individuals looking to do the same. TUITION- To be paid after you receive the confirmation. (Scholarships are available for those in financial need). $250 per semester for (1) ONE class $400 per semester for (2) TWO classes In case of emergency please notify:Name 1 * Required First Last Phone 1 * RequiredName 2 * Required First Last Phone 2 * RequiredMedication InformationList any medical issues that we should be aware of: * RequiredList any medications being taken by the student at this time: * RequiredStudent/Parent/Guardian Signature * Required**I understand that as part of my participation this semester, I may be included in photographs or video that could be used on air or for promotional and informational purposes. I understand that I will be identified by first name only. No last names of students will be used. Date * Required Student/Parent/Guardian Signature * Required***I would like to have my information included in a Noorthoek Academy directory. This information would NOT be made public but would be available to other Noorthoek Academy students/families for the purpose of carpool/ rides or social activities. Please sign if you are willing to share your contact information with other Noorthoek Academy families. Date * Required CAPTCHACall Education Director at 616-634-8352 for more information or to discuss financial need. If you are a new student/parent/caseworker please sign up so you will receive important updates and information www.noorthoekacademy.org/contact/newsletter-sign-up Noorthoek Academy is committed to providing our students enjoyable learning and social experiences. We will continue to honor the expertise of public health professionals and follow recommended health strategies.