Student Registration 23-24

Student Name

First

Last

Parents Names ( Same as used on Parent Registration Form)

First

Last

Birth Date

Grade

Does student have any medical issues we should be aware of?

Description of Medical Issues

Does student have any allergies we should be aware of?

Description of allergies and any necessary information on medications.

Gender

Do you have medical insurance that will cover accidental incidences occurring while your child is on the HomeLink campus or traveling for a field trip?

Does this student have any learning challenges or behavioral issues that would be helpful for us to be aware of?

High School Transcript Service

Name of Insurer

Description of learning or behavioral issues.

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.

Please check the box next to each of the following to indicate your acceptance:

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. *

Yes
No

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 withdrawal. *

Parent Signature

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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 signed 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.

Class Registration

Classes may be cancelled if the minimum enrollment is not met. Class size is limited and registrations will be accepted on a first come, first served basis so we encourage you to register early to reserve your spot.

Class 1

Class 2

Class 3

Class 4

Class 5

Class 6

Class 7

Class 8

Date

Qualifications

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.*

I have completed 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 homeschooling

Intent to Homeschool

I will file my "Intent to Homeschool form with the scho9ol district within which we reside.

Qualifying Parent's Signature

Please check the box next to each of the following to indicate your acceptance:

Class Registration

Qualifications

Jim Paine

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