Submitted by Anonymous (not verified) on Mon, 10/23/2017 - 15:40 - 0 Comments Student/Family Info First Name * Last Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Grade * - Select -K010203040506070809101112 Please select the students grade. Parent(s) Name(s) * Address City State ZIP Email Home Phone Work Phone Cell Phone Emergency Information Health Issues * Are there any health issues about which we should be aware? Yes No Health Details If yes, please explain: Emergency Contact 1 * Emergency phone 1 * Emergency Contact 2 Emergency Phone 2 Insurance * Do you have medical insurance that will cover accidental incidences occurring while your child is on the HomeLink Campus or travelling for a field trip? Yes No Insurer Name of insurer: Emergency Health Decisions: * Do we have permission to make emergency health decisions in the event we are unable to reach any of the people on your contact list? Yes No High School Students Transcript Service * Yes No Once a student turns 14, earning high school credit for high school level studies is possible. It is highly recommended that credit earned in HomeLink classes be reported on an accredited transcript, easing the recognition of the credit by other institutions. The cost for the transcript service adds an additional $10 per month to the HomeLink tuition. Classes other than HomeLink classes can also be added to this transcript for an additional charge. More information is available on that process. This service is offered by default to all HomeLink families. If you do NOT want this transcript service, change this option to "no." If your student is less than 14 years old, you may safely ignore this. Parental Agreement Initial Please initial each of the boxes below to indicate that you have read and agree to abide by the following. I understand that class fees are to be paid by the 15th of each month from September through June (10 months), if paying by the month. * I understand that the HomeLink Program includes class time, curriculum research and selection, assignment writing, grading and cost of materials. Therefore, class fees are due regardless of attendance. * If the student attends more than one session, but then drops the class before the end of the quarter, a drop fee of $25 will be due. * I give permission to use photos of my student(s) in HomeLink/NARHS promotional materials. * I understand that as a family new to HomeLink, attendance at the HomeLink Orientation and the “Getting Started” classes is mandatory for parents and their students. * A student is considered enrolled until a parent submits written notification of changes or withdrawl. * Parent Signature * By entering your name in this box, you are acknowledging that the above information is true to the best of your knowledge. This is considered to be an "electronic signature" under the United States ESIGN Commerce Act. This box must be initialed by the parent/guardian of the student if the student is under 18 years of age, or by the student if the student is 18+ years of age. Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20182019202020212022 Class Registration Info Middle School/High School Program: The classes in this brochure may be cancelled if the minimum enrollment number of seven is not met by June 15. Class size is limited as well. Register early to ensure your spot. The registration fee is waived if we receive your registration by June 15. Children’s Music Theater Workshop: Registrations will be accepted on a first come, first served basis. Class size is limited. Class 1 - None -Elementary Music Theater WorkshopMiddle School BlockMedieval History w/LiteratureMiddle School Earth/Space ScienceMath EssentialsConversational SpanishBasic and Advanced Steps CompositionComputer Skills*Foundations of Success (1st semester only)DramaMiddle School/High School Hands-on ArtPublic Speaking and LeadershipAdvanced SpeechGreat Literature w/CompositionUnited States HistoryPhysical ScienceBiologyAnatomy and Physiology (prerequisite: biology)ChemistryAlgebra IAlgebra IISpanish ISpanish 2American Sign Language IIBusiness Class 2 - None -Elementary Music Theater WorkshopMiddle School BlockMedieval History w/LiteratureMiddle School Earth/Space ScienceMath EssentialsConversational SpanishBasic and Advanced Steps CompositionComputer Skills*Foundations of Success (1st semester only)DramaMiddle School/High School Hands-on ArtPublic Speaking and LeadershipAdvanced SpeechGreat Literature w/CompositionUnited States HistoryPhysical ScienceBiologyAnatomy and Physiology (prerequisite: biology)ChemistryAlgebra IAlgebra IISpanish ISpanish 2American Sign Language IIBusiness Class 3 - None -Elementary Music Theater WorkshopMiddle School BlockMedieval History w/LiteratureMiddle School Earth/Space ScienceMath EssentialsConversational SpanishBasic and Advanced Steps CompositionComputer Skills*Foundations of Success (1st semester only)DramaMiddle School/High School Hands-on ArtPublic Speaking and LeadershipAdvanced SpeechGreat Literature w/CompositionUnited States HistoryPhysical ScienceBiologyAnatomy and Physiology (prerequisite: biology)ChemistryAlgebra IAlgebra IISpanish ISpanish 2American Sign Language IIBusiness Class 4 - None -Elementary Music Theater WorkshopMiddle School BlockMedieval History w/LiteratureMiddle School Earth/Space ScienceMath EssentialsConversational SpanishBasic and Advanced Steps CompositionComputer Skills*Foundations of Success (1st semester only)DramaMiddle School/High School Hands-on ArtPublic Speaking and LeadershipAdvanced SpeechGreat Literature w/CompositionUnited States HistoryPhysical ScienceBiologyAnatomy and Physiology (prerequisite: biology)ChemistryAlgebra IAlgebra IISpanish ISpanish 2American Sign Language IIBusiness Class 5 - None -Elementary Music Theater WorkshopMiddle School BlockMedieval History w/LiteratureMiddle School Earth/Space ScienceMath EssentialsConversational SpanishBasic and Advanced Steps CompositionComputer Skills*Foundations of Success (1st semester only)DramaMiddle School/High School Hands-on ArtPublic Speaking and LeadershipAdvanced SpeechGreat Literature w/CompositionUnited States HistoryPhysical ScienceBiologyAnatomy and Physiology (prerequisite: biology)ChemistryAlgebra IAlgebra IISpanish ISpanish 2American Sign Language IIBusiness Parent Qualifications to Homeschool Qualifications * I have 45 college credits I have completed the 10-hour home school parent qualifying course. I will meet with a state-certified teacher once a week who will supervise our home schooling program. The HomeLink Program serves families who comply with school attendance laws. Parents must “qualify” to home school legally. Please indicate under which provision your child fulfills the compulsory school attendance laws in Washington. Intent to HomeSchool * I will file my "Intent to HomeSchool" form with the school district. Parent Signature * Qualifying parent's signature Leave this field blank
