Nutrition and the Science of Food

Please fill out one form per student, per course. Additional courses and students require filling out an additional form.

2026-2027 •Austin-North Region • Georgetown (Wed) • Wednesday 8:45 AM – 10:15 AM

Teacher: Mrs. Fouts

Registration Fee: $100.00 Monthly Tuition: $70.00

Parent / Guardian Information

First Name *

Last Name *

Phone Number *

E-mail *

ODA Family Number

Family Number *

Last Name *

Enter 0000 if you have completed the family interview and are awaiting your number.

Home Address

Street Address *

Street Address Line 2 (optional)

City *

State *

Zip Code *

Student Information

First Name *

Middle Name

Last Name *

Suffix

Birth Date *

Month

Day

Year

Student Phone (optional)

Additional Comments (optional)

Student Email (optional)

Payment Methods Accepted

🏦

Pay Online (ACH)

💵

Cash

📝

Check

Zelle

To mail a check or use your bank's bill pay, please email me directly for an address.

Agreement

Our family understands and agrees to the following:

Your interview has been completed with One Day Academy and the Registration fee has been paid to One Day Academy.
Our student is not considered to be registered until the registration and supply fee has been paid to Mrs. Fouts.
Order required course curriculum and supplemental material as indicated in the course description.
Monthly tuition is due the first day of the month.

I have read and agree to the terms above. *

Full Name (typed signature) *

By typing your name, you confirm your agreement to the terms above.