Pre-K/K (Friday Only) Program
Student Registration Form
FALL 2019

Please use a separate registration form for each student.
Choose your classes carefully!
Staff spend numerous hours, per student, to set-up schedules, follow-up on documents/fees, organizing teacher class lists, printing materials including student name badges (with schedules on the backs) etc. Changes made after submission greatly increase the work load for staff and can negatively impact the opportunity to run a class.
These changes may cause the entire program to lose funding and in some cases, entire classes have to be canceled causing a teacher to lose pay. Your decisions widely affect the teachers, staff and other students in the program, so please, take your time when choosing your classes, and if you have questions, please ask!

IMPORTANT: BEFORE YOU BEGIN....
It is vital that you understand and agree to the following:
1) If you request a class change AFTER courtesy holds have been emailed, you will owe $25 per class change.
2) If you request a class drop AFTER courtesy holds have been emailed, but before classes begin, you will be charged $125 per class dropped. This fee is required due to commitments we have made to our teachers to run their class(es), rent the facility, etc.
3) If you drop classes BEFORE count month is complete, you will be financially responsible for ALL fees/charges associated with your child's classes. This could range from $125-$350 PER class. These fees will be your responsibility as the school district will no longer fund selected classes without count day/month completion.
I agree to the above payment requirements should I request a class change/drop AFTER courtesy holds have been emailed and/or before count day/month requirements have been fulfilled.*
Parent Name (First & Last)
RETURNING FAMILIES: NO CLASS CHANGES CAN BE MADE AFTER
APRIL 1ST, 2019
NEW FAMILIES: NO CLASS CHANGES CAN BE MADE AFTER
JULY 1ST, 2019
Each student is required to enroll in all 5 program class hours onsite.
Offsite classes for Pre-K are only available as Self-Pay.
Kindergarten will only be able to be funded on a FULL-TIME basis this Fall. This means that your "K" student will need to take 6 funded classes. 5 onsite and 1 online/offsite. If this is something you do not want to do, you can still self-pay for the program.
If you have any other questions pertaining to this, please reach out to the Program Director BEFORE registering.

Is your student NEW to Quo Vadis? (This also applies to previously enrolled students who were withdrawn from the district, and are now returning)
Returning Student New Student
Mother's Name*
First Name Last Name
Father's Name*
First Name Last Name
Student Name (All fields must be filled)*
First Name (No Abbreviations) Middle Name Last Name
Birth Date*
Month Day Year
Grade student will be entering in Fall 2019?*
It is VITAL to list students grade by their age/birth year.
Gender*
Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code Country
E-mail*
Mobile Number*
Area Code Phone Number
Phone Number*
Area Code Phone Number
Work Number
Area Code Phone Number
Throughout the year, class photos and student activities are photographed. If you would prefer for your student's images to not be used in advertising or on our website, please check the box.
Opt-Out

Pre-K/K Program
Please note that students enrolling in the QVH Pre-K & K Program are enrolling for 5 class hours. These classes will include: Reasoning:Math Games, Natural World Projects: Exploring Our World, Elementary Projects: Stories From Around The World, Elementary Skills Projects: Thematic Learning and Art Techniques Projects: Art & Music.
This program will run during the regular QVH operating times of 10:15am-3:45pm. During this time, students will take bathroom, snack and lunch breaks.
ALL STUDENTS MUST BE FULLY POTTY TRAINED AND OUT OF DIAPERS/PULL-UPS.
I want to stress that this program is not designed to be a day-care. Your students will be active and learning in a fun environment while at QVH.
Pre-K Students: This program is currently being offered only on a Self-Pay (family pays) basis. The program will run for 14 weeks.
Self-Pay: $500 (includes yearly registration fee)
Kindergarten Students:
District Funded Full-Time (6 classes) student: $25 reg. fee
Self-Pay: $500 (includes yearly registration fee)

Is your Kindergarten student enrolled in or planning to enroll in classes that take place in any other school district or program for the Fall 2019 semester? (THIS ONLY INCLUDES: classes being paid for by the state or a school district)*
No Yes
STOP - Funded Kindergarten classes are only being offered on a Full-Time basis this coming school year. If you are already enrolled in or planning to enroll in another district or program with funded classes, you CANNOT enroll your child in our funded program.
In this case, our program would only be available on a self-pay basis.

Please review ALL Course Descriptions for your Pre-K/K student(s), ensuring that you are able to obtain the required Student Supplied Resources for each course BEFORE the start of Fall classes on September 9th, 2018.

Pre-K/K: F18/S19 Course Descriptions
I have reviewed the Course Descriptions and understand that I am responsible for obtaining all Student Supplied Resources before the 1st day of class.*
Yes
I understand that all fees are due upon receipt of Class Courtesy Hold and must be paid in full before any classes can be attended.*
Yes

Are you CURRENTLY enrolled in the Oxford Virtual Academy (OVA) system for funding?*
No Yes

I understand that if I request any class changes to be made to my student's schedule AFTER I receive my Courtesy Hold, that I will be charged a $25 fee per class change, due immediately.*
Yes
I understand that if I drop a class after I receive my Courtesy Hold that I am responsible for the class fee of $125-$350 (dependent on class) per class dropped. This fee is to be paid in full before my child can attend any future classes.*
Yes
STOP
DO NOT check the following boxes until you have completed and reviewed the requested items.
ALL FAMILIES fill out form (1 PER STUDENT)*
ALL FAMILIES fill out form (1 PER FAMILY)*
Additional Comments
Signature
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