FALL 22 / SPRING 23 Quo Vadis Registration Form

K-12th Grade

Student Registration Form

Fall 2022/Spring 2023

Fill out the form on a laptop/desktop.

Phones & mobile devices often cause issues with the submission and you will need to start from the beginning if content is lost.

Please use a separate registration form for each student.
IMPORTANT: BEFORE YOU BEGIN....

Remember to choose your classes carefully!

Staff spend numerous hours, per student, to set-up schedules, follow-up on documents/fees, organizing teacher class lists, printing class materials and student name badges with individualized schedules, etc.

Class changes may cause the entire program to lose funding and in some cases, entire classes have to be canceled causing a teacher to lose a paid class. Changes in your decisions widely impact 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!

FINANCIAL OBLIGATIONS
It is imperative that you understand your financial obligations as it pertains to enrollment in Quo Vadis, and if utilizing state funding, with OVA. To secure funding with OVA you/your student need to fulfill "count" requirements each semester. This varies by district. In essence, your student is participating in their classes on "count day".

A large portion of student funding is used up front by Quo Vadis for the purchase of classroom materials, supplies, curriculum, supplements, etc. If you choose to withdraw your student from the program before all funding has been provided to Quo Vadis, you will be held responsible for the amount that was not yet covered.

If a situation arises and you feel like you need to make a change, please reach out to Quo Vadis. We often have suggestions that can address your specific situation without adding the financial burden.

In addition:

1) If you request a class change AFTER you submit your registration, you will owe $25 per class change.

2) If you request a class drop 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, but after classes have begun, you will be financially responsible for ALL fees/charges associated with your child's classes. This could range from $240-$1500 PER class. These fees will be your responsibility as the school district will no longer fund selected classes without count month completion.
- I understand the financial expectations of myself and my family as outlined in the General Policies. In addition to the class change and dropped class fees, I, type full name here * , agree to either complete "Count" requirements each semester or pay all fees previously outlined for not fulfilling my obligation.
- I, type full name here * , agree to return all materials to Quo Vadis at the termination of the school year or when I cease to attend, whichever comes first.

STUDENT INTAKE
Mother's Name *

First Name Last Name
Father's Name *

First Name Last Name
Parent Email (to be used for notifications):
example@example.com
Student Name *

First Name (Do NOT abbreviate) Middle Name Last Name
Gender *
Birth Date *

Month Day Year
Age student will be on 9/01/22 *
Grade student will be entering in the Fall 2022? *
Student Drivers License # if applicable
Enter this information if your student will have access to a vehicle to leave the facility during the lunch period.

Throughout the year, class photos and student activities are photographed. These images may be used on our website/FB page to showcase our program to current and interested families. *

By checking this box you are confirming your understanding in regards to photography on site at Quo Vadis.

PROGRAM SELECTION
Please read through all the choices below and select the program that you are enrolling your student in.

Reminder:

You need a separate registration per student.

Only select 1 option per student, making sure all other option selections are on "None"
FUSION (CORE CLASSES - MONDAY/WEDNESDAY)

Only make a selection in this section if your student is being enrolled in our Fusion program, covering Math, Lang. Arts, Science and History onsite each Monday and Wednesday during the school year.
QV Fusion Program (Monday/Wednesday; 6 classes: 4 core, 2 electives) *

New Fusion Student. My student WAS NOT enrolled this past school year. (K-12th) Returning Fusion Student. My student WAS enrolled this past school year. (K-12th) None
ONLY ELECTIVE CLASSES

Only make a selection in this section if your student is being enrolled ONLY in our elective classes. NOTE: This also applies to Full-Time students enrolled with OVA online but choosing to take electives at our location throughout the school week.
K-12th: Electives-Only (Part-Time; Max of 4 funded + 1 partially funded) *

New Student: My student was not enrolled with Oxford Virtual Academy for funded classes during the Fall 2021 or Spring 2022 school year. Part-Time Returning Student: My student was enrolled last school year for funded classes with Oxford Virtual Academy. OVA/OSEC Full-Time Student (taking electives only w/Quo Vadis) Self-Pay Only (New or Returning): Family pays all classes out-of-pocket (Not using OVA/District funding) None

QV Fusion is a comprehensive program designed to meet ONSITE, at our Quo Vadis facility, two days a week (Monday/Wednesday). This applies to both Self-Pay families as well as our traditional, Full-Time district funded families.

By enrolling in our Fusion program you are commiting for the entire school year of 2022/23.

Parents are REQUIRED to work at home with their students to cover a full school days content on both Tuesday/Thursday each week.

All students will be automatically enrolled in 4 core classes (Math, Science, History, Lang. Arts). Core classes remain the same for the school year.

Students will also be able to choose 2 elective classes from our current offerings, taking place onsite Fridays and/or offsite throughout the week at Quo Vadis partners.

Elective classes will be enrolled on a full year basis, but changes can be made 2nd semester if a student needs. (If students are taking an elective class offsite, they must choose from the Quo Vadis list; fees apply for offsite classes due to the cost of running them; this is the responsibility of the parent to pay - district funding does not cover these extra fees.)

Math Placements tests are provided online for new students to help target any educational gaps. New students will be placed at grade level in all courses. If adjustment needs to be made after the start of classes we can address this concern with the onsite mentors to work on a solution to benefit the student.
I understand that by enrolling my child in the QV Fusion Program, that they will also be enrolling as a Full-Time student with the Oxford Virtual Academy on a Funded basis or, alternatively Self-Paying for the Program? *

Yes. I am enrolling my child as an OVA funded student. Yes. I am enrolling my child on a Self-Pay basis at a rate of $4,800 per student/year.
I understand that by enrolling my child as a Full-Time, Funded student, we will be required to meet all state requirements. This includes but is not limited to: Attending & participating in Count Day/Month, completing any testing requirements, and participating in the online portion of the classes. *

Yes N/A: We are self-paying for classes
I understand that this program is developed to function collaboratively onsite, offsite and online and that participating in all of these areas are essential to successfully using/completing the program? *

Yes, I understand that my student will work onsite, at-home as well as online.
I understand that an opportunity to complete the online component is provided onsite on Mondays/Wednesdays, but it is ultimately the parent's responsibility to make sure the students are completing this portion in its entirety. *

Yes, I understand
I understand that as a parent in this program, I am a vital part of the program and my feedback and comprehension of the curriculum is essential to my student's success. I agree to work with my student 2 days a week, at home, to fulfill my obligation to my child's education and their success. *

Yes, I agree and understand my role in my student's success in this program.
I understand that a Study Hall is available onsite at Quo Vadis in room 18 and that my student can utilize this for one class hour on Fridays in order to complete this online component. Computer lab hours can be signed up for during registration for students in grades 6-12th only. There is a $50 fee per computer lab class/semester. CHOOSE ALL THAT APPLY *

I understand that my student can use this resource for a fee of $50/semester for 1 hour/week of use AND that as a QV family we have access to this resource. I have a student in grade k-5th. I understand that I can be with them in the computer lab to complete this requirement if I desire.
PLEASE CONTINUE TO NEXT PAGE.

PART-TIME, K-12th grade students are required to enroll in 4 classes minimum with QVH*.

Students enrolling in a full schedule (min. of 4 elective classes will get priority enrollment)

If students are taking a class offsite, they are still required to take a 2 classes minimum onsite at QVH.

*Exception: 9th-12th grade students who are enrolled FULL-TIME with a district are required to take 1 class onsite or offsite + $75/yearly reg. fee.

If students do not attend classes onsite, then the Service Hour Opt-Out Fee of $150 will need to be paid by the family. Alternatively, parents can schedule service hours to avoid fees.
If enrolling self-pay student (family pays for classes out-of-pocket) I understand that I am not required to participate in the online class components. Please select below if you want credentials generated for you to access these components. Note: Having credentials does not mandate you to participate. It only provides the option. Some classes list homework online only therefore making access necessary. *

Yes, I would like to have access to the online component. I understand it will cost me $15 to receive these. No, I am not interested in accessing the online component Not Applicable - I am an OVA/District funded student.
Each of my onsite/offsite classes also have online components that accompany them. I understand that each of these online components need to be accessed and participated in each week that classes are running onsite/offsite. *

Yes
I understand that by enrolling as a Part-Time/Full-Time Student, utilizing OVA funding, that I agree to participate in Count Day/Month requirements in order to secure district funding. *

Yes
I understand that a computer lab is available onsite at Quo Vadis in room 18, that my student can utilize for one class hour on Fridays in order to complete this online component. These computer lab hours can be signed up for during registration for students in grades 6-12th only. There is a $50 fee per computer lab class/semester. CHOOSE ALL THAT APPLY *

I understand that my student can use this resource for a fee of $50/semester for 1 hour/week of use AND that as a QV family we have access to this resource. I have a student in grade k-5th. I understand that I can be with them in the computer lab to complete this requirement if I desire.
PLEASE CONTINUE TO NEXT PAGE.

MULTI-DISTRICT UNDERSTANDING
Is your K-12th grade student enrolled in or planning to enroll in classes that take place in any other school district or program for the Fall 2021/Spring 2022 semesters? *

No Yes
What district/program is your student enrolled in or plans to enroll in for the Fall 2022 semester that is separate from Oxford Virtual Academy? *
How many classes will your student be taking in the other district/program for the Fall 2022 semester? *
Keep In Mind: All part-time students can take up to 4 funded classes through OVA as well as 1 partially funded class.

If you are also participating in another district, the max you can use with OVA is 2.
PLEASE CONTINUE TO NEXT PAGE.

ELECTIVE CLASS DESCRIPTIONS
Please review ALL Class Descriptions for your 1st & 2nd choice ELECTIVE classes.

Each of these will outline whether there are required resources the family needs to procure BEFORE the start of classes.
ONSITE CLASSES:

AMAZING ANIMALS 1A

ART LAB 1A

BASIC WEB DESIGN

CHARACTER SCULPTURE

CHOIR

DEBATE/CIVICS: LET'S ARGUE WELL

DI - CENTRAL CHALLENGE ; DI - INSTANT CHALLENGE

ESCAPE ROOM 5A

FENCING - BEGINNER

FOUNDATIONS IN PERSONAL FINANCE

GUITAR

HISTORY OF THE HOLOCAUST 1A

INTRO TO GOOGLE DOCS/SHEETS/SLIDES

JUNK BOX WARS

LET'S TALK...PUBLIC SPEAKING

LITTLE PASSPORTS

MYSTERY DETECTIVE

PIANO - BEGINNER

QV BAND

SPANISH - BEGINNER 1A

SPECIAL EFFECTS MAKEUP

STORIES AND SNACKS

STUDENT COUNCIL 1A/B

UKULELE 1A/B - BEGINNER

KEYBOARDING - BEGINNER

VET SCIENCE: THE CARE OF ANIMALS 1A

YEARBOOK DESIGN 3A

OFFSITE CLASSES:

BASKETBALL - GREG GRANT SPORTSPLEX

KARATE - PRO ATA MARTIAL ARTS

OHMI - TROY OR WATERFORD LOCATION

ROCK BAND - MUSIC MAKERS

SOCCER - GREG GRANT SPORTSPLEX

SPORT SHAKE-UP - GREG GRANT SPORTSPLEX

VOLLEYBALL - GREG GRANT SPORTSPLEX
I have reviewed the Course Descriptions and understand that I am responsible for obtaining all required items for my student(s) 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 sealed and attended. *

Yes

On the next page you will find classes

listed by the hours offered.

K-12th graders (where appropriate): Please make sure to choose both a 1st and 2nd choice.

DO NOT choose the same class for both choices. If a class becomes full, we will enroll your student in their 2nd choice.
- If your 6th-12th grade student will have a gap hour during the semester where they are onsite, unattended by a parent, then your student MUST be enrolled in Study Hall that hour and a $50 fee per gap hour/semester will be charged.
- Students in grades K-5 CANNOT have a Gap hour without a parent/guardian being onsite to monitor their child.
- Gap Hour/Study Hall can only be used between classes.
Please know we will do our best to get your student in their first choice.

*Note: Our class enrollments are based off of your student's birthday. If you feel your child requires alternate classes, please leave a message in the comments section at the bottom of this form explaining your situation.

Please Clarify Your Intended Payment Option Below *

ALL Funded classes through district ALL Self-Pay classes (family pays out-of-pocket) Combination of both
* # of Self-Pay Classes *
Note:

*All class fees need to be paid in full before registration can be finalized.

Upon class confirmation, an email will be sent with any payment balance due to complete registration.

By signing and typing name below, I am confirming that all content/information provided in this registration document was completed to the best of my knowledge/ability, and that I am accepting the terms of this registration agreement. *

Clear
Type parent's Full Name *
First and Last Name
Should be Empty:

FINANCIAL OBLIGATIONS

STUDENT INTAKE

STUDENT HISTORY

PROGRAM SELECTION

FUSION (CORE CLASSES - MONDAY/WEDNESDAY)

ONLY ELECTIVE CLASSES

MULTI-DISTRICT UNDERSTANDING

ELECTIVE CLASS DESCRIPTIONS

ELECTIVE CLASS SELECTION

OFFSITE QUO VADIS ELECTIVE OFFERINGS