UNIVERSITY OF PITTSBURGH \ FORM INSTRUCTION GUIDE



FORM TITLE:              REGISTRATION CONTRACT - FALL SCHOOL
NUMBER:                  FORM 0011 PITT 1343
PROCEDURE:               09-05-16


Enter the following information:

    1.    Student's name.

    2.    School year to be covered by the contract.

    3.    Appropriate grade level.

    4.    Dollar amount of tuition for grade level indicated in 3
          above.  (See Schedule A.)

    5.    Total dollar amount of mandatory operational fees.
          (See Schedule A)



To be completed by Parent or Guardian:

    6.&7. Select additional items, required or optional, and
          enter appropriate dollar amount for selected items.
          (See Schedule A)

    8.    Enter total amount of contract.  (Add lines 4, 5, and
          7.)



CONTRACT CONDITIONS - To be completed by Falk School:

    9.    Enter deadline date for submitting completed contract
          to Falk School.



To be completed by Parent or Guardian:

   10.    Signature of Parent or Guardian required.

   11.    Name of Parent or Guardian (Printed or Typed)

   12.    Relationship to student.

   13.    Billing address.  (Street, City, State, and Zip Code)



To be completed by Student Accounts:

   14.    Validate processed registration contract.