Student Form

Student Form

One form to be completed for each student.
Osa Jungle Academy

Please note that we are a learning community and not a traditional school. Our approach is to enable students to be Inspired, to Inquire, Imagine and Impact the world. We do this through offering both academic and experiencial learning programs and providing different pathways for children preparing for middle or secondary schooling and beyond. Accreditation is optional.
Accreditation is important for my child and I would like to learn about these options.

YesNoUndecided
Student Information
Name*

First NameLast Name
Date of Birth*

DayMonthYear
DD-MM-YYYY
Gender*
Native language*
Other languages
Indicate level
Email
Each student should have a personal email for the purposes of organizing and submitting assignments.
Countries (in order) lived in before Costa Rica
Address in Costa Rica
Address*

Street Address

CityState / Province

Postal / Zip Code
Guardian Information
Guardian 1 Name*

First NameLast Name
Relationship to student*
Email*
Please enter the ONE email to be used for all communication
Contact (Whatsapp) Number*

Area CodePhone Number
Guardian 2 Name

First NameLast Name
Relationship to student
Email
Please enter the ONE email to be used for all communication
Contact (Whatsapp) number

Area CodePhone Number
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Emergency Contact
Emergency Contact 1 Name*

First NameLast Name
Relationship to student*
Phone Number if located in Costa Rica, otherwise Whatsapp*

Area CodePhone Number
Emergency Contact 2 Name

First NameLast Name
Relationship to student
Phone Number if located in Costa Rica, otherwise Whatsapp

Area CodePhone Number
Please list any of the following: current medications, medication allergies, food allergies, chronic health concerns, or any other matters relating to the wellbeing of the child that you'd like us to be aware of.*

Learning Journey

We welcome children from around the world and all walks of life. In order to meet with the diverse needs, please describe the student's learning journey to date as well as areas that the student may be interested in exploring further.

Things to consider sharing include: areas they particularly enjoyed or found challenging, preferred learning styles - interactive, games based, formal instruction, research, role-plays, learning in teams or individually, topics or experiences where they have shown heightened interest, strategies that have been supportive in more challenging moments, etc.
Describe overall learning environments that the student has experienced to date. What worked well and where might extra attention be supportive?*
English: Literature and Language
Grade Level (English)
(if known)
Grading system, school and country
Describe the student's comfort with and learning journey in English studies
Mathematics
Grade Level (Math)
(if known)
Grading system, school and country
Describe the student's comfort with and learning journey in math studies
Spanish
Grade Level (Spanish)
(if known)
Grading system, school and country
Describe the student's comfort with and learning journey in Spanish studies
Other Subjects
Describe any other subjects that has made a great impact on the student, or subjects that they are particularly excited to learn more about.
If your child is or plans to participate in other learning platforms during their enrollment with us, please describe them below. These platforms may be in-person, online, long-term or temporary. Knowing about them will help us to have more insight how we can support your child's learning.

Expectations & Agreements
I have read the AGREEMENTS 2024 (linked here and which I can download for my record). I acknowledge and agree to abide by the terms contained within that Agreements.
Type a question*

Yes I agreeNo, I have questions (as submitted at the bottom of this page)
Enrollment dates (approximate). Do note that our cycles are 10 weeks in duration and it is strongly recommended that children complete a cycle at minimum.*
Please indicate both beginning and end dates to the best of your knowledge. See 2024 CALENDAR at: www.jungleacademy.org/calendar
Select your enrollment plan*

Full Time : 5 days a weekUndecided
Link to FEES 2024
What are your main expectations in sending your child(ren) to Osa Jungle Academy (OJA)?*
Where did you hear about us? (So that we know who to thank!)*
Please share any other information that is helpful for us to know or to consider, so that we can together create a meaningful learning and community environment for your family. You may include any questions here.*

Waivers and Authorisations
(A) I confirm that I have read and agree with the below Waiver and Authorisation and further re-affirm that my child is covered by a suitable medical insurance policy for the entire duration of the enrollment period.*

YESNO
Student Waiver Form

For enrolment at Osa Jungle Academy (OJA) we require that each child carry an appropriate insurance policy. In the event of an accident parents will be contacted according to the information provided in the enrolment form. It is the parent or guardian’s responsibility to inform OJA of any ongoing changes to emergency contact information.

YOUR SIGNATURE AGREES TO THE FOLLOWING:
- I acknowledge and understand there are risks of personal injury involved in activities for which I have enrolled my child at OJA and for which I have agreed to accept responsibility.
- In consideration of my child being allowed to participate in any and all of these activities, I for myself, my heirs, executors, and administrators, assign and do waive, release, and discharge any and all rights, demands, or claims for damage, theft and cause of suit or action, known or unknown by facility employees, property owners or agents due to any acts or omissions.
- For any or all injuries and mishaps in any manner resulting from such participation I will through my own resources, including insurance benefits, assume and pay my associated medical and emergency expenses in the event of accident or illness.
- In the event of illness or injury where a parent, legal guardian or other emergency contact cannot be contacted, I do hereby consent to whatever x-ray, examination, anaesthetic, medical, surgical, dental diagnosis/treatment, hospital care and emergency transportation may be considered necessary in the best judgment of the attending physician, surgeon or dentist.
(B) I also confirm that my child has met the health requirements set out by the Costa Rican government and have the necessary documentation in the event that these are required for presentation.*

YESNO
Signature*

Clear
Name of Parent / Guardian completing this form*

First NameLast Name
Should be Empty:

Student Form

Expectations & Agreements

Waivers and Authorisations