• 2022-2023 DSSV registration form

  • The Dutch School Silicon Valley is a registered Non-Profit Organization that depends on the time and talent provided by parents, volunteers and employees to realize the best educational experience for our students.

    • Age :   Students are welcome from their 5th birthday onwards.
    • Tuition Contribution per student:  
      • USD 1485 (USD 165/month) without employer reimbursement. 
      • USD 2160 (USD 240/month) when you receive employer reimbursement.
      • Third child discount: 40% on the tuition for the third child.
      • School materials and books contribution: USD 50 / year
    • Registration fee: USD 100 per family
  • Contact information

    We would like to register one or more students (per family) for the 2022-2023 school year at the Dutch School Silicon Valley.
  • Student Information

    Student #1
  • Please provide personal information of the First Student to enroll

  •  /  /
    Pick a Date
  • What is the highest accomplished Dutch language education grade (group or class) and where did the student achieve this grade (Netherlands/Belgium or NTC-education)?

  • Physical classroom learning (in-person) is at the heart of our school. Primary education is available in all locations. For 'groep 6-8' we also offer the option of hybrid education: weekly classes online and in-person classes on a Saturday, once every six weeks in Palo Alto.

    Secundary education (Voortgezet Onderwijs) is offered as hybrid education only. 

    Please check the location/option that is most convenient for you:

  • We finalize our class schedules in August. Class times and dates will be determined based upon family, teacher and classroom availability.

    Our classes on weekdays are between 3:45-6:15pm and our Saterday classes are from 10:00am-12:30pm. Our students have one class per week.

    Please inform us about your availability for the location (physical or online) you have chosen.

  • Required Information in case of an Emergency

  •  -  -
    Pick a Date
  • Student Information

    Student #2
  • Please provide personal information of the second Student to enroll

  •  -  -
    Pick a Date
  • What is the Highest accomplished Dutch language education grade (group or class) and where did the student achieve this grade (Netherlands/Belgium or NTC-education)?

  • Physical classroom learning (in-person) is at the heart of our school. Primary education is available in all locations. For 'groep 6-8' we also offer the option of hybrid education: weekly classes online and in-person classes on a Saturday, once every six weeks in Palo Alto.

    Secundary education (Voortgezet Onderwijs) is offered as hybrid education only. 

    Please check the location/option that is most convenient for you:

  • We finalize our class schedules in August. Class times and dates will be determined based upon family, teacher and classroom availability.

    Our classes on weekdays are between 3:45-6:15pm and our Saterday classes are from 10:00am-12:30pm. Our students have one class per week.

    Please inform us about your availability for the location (physical or online) you have chosen.

  • Required Information in case of an Emergency

  •  -  -
    Pick a Date
  • Student Information

    Student #3
  • Please provide personal information of the third Student to enroll

  •  -  -
    Pick a Date
  • What is the highest Dutch language education grade (group or class) and where did the student achieve this grade (Netherlands/Belgium or NTC-education)?

  • Physical classroom learning (in-person) is at the heart of our school. Primary education is available in all locations. For 'groep 6-8' we also offer the option of hybrid education: weekly classes online and in-person classes on a Saturday, once every six weeks in Palo Alto.

    Secundary education (Voortgezet Onderwijs) is offered as hybrid education only. 

    Please check the location/option that is most convenient for you:

  • We finalize our class schedules in August. Class times and dates will be determined based upon family, teacher and classroom availability.

    Our classes on weekdays are between 3:45-6:15pm and our Saterday classes are from 10:00am-12:30pm. Our students have one class per week.

    Please inform us about your availability for the location (physical or online) you have chosen.

  • Required Information in case of an Emergency

  •  -  -
    Pick a Date
  • Emergency Information

  • In case of an emergency we will contact the Primary Contact, if we cannot get hold of this first contact we will contact Secundary Contact. When both parents/legal guardians cannot be reached, we will contact the Emergency Contact provided to us in this form.

  • I understand that, as standard procedure, my child(ren) will only be released to the persons registered in this form. I would like to add the following person(s) as possible adult(s) that my child(ren) may be released to, after I have given notice of this to the teacher (Grandma/Grandpa/Nanny etc). Please fill out their first and last name and relationship to the student.

  • Authorization (in case of emergency)

    I, hereby, authorize the Dutch School Silicon Valley (the “School”), and its board members, directors, officers, administrators, staff (a.o. teachers and teaching assistants), employees, volunteers and agents, to take any measures necessary for the protection of my child(ren) during the hours of the DSSV classes and events.
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  • For parents by parents: supporting, volunteering and donations

    The DSSV is certified Non-Profit Organization run by parents, volunteers and paid employees. Our school depends on donations in time, talent and monetary means to provide the best education to our students. Let us know in what form you would like to participate in creating the best possible educational experience for our children.
  • How can you help?

    Please check one or more boxes and we will send you more information.

  • Permission to use Photographs

  • During the school year, the Dutch School Silicon Valley may wish to place photographs of the classes, activities and school works on the DSSV parent Facebook group, password protected DSSV Shutterfly share site, on the DSSV Facebook page or DSSV Public website. The DSSV Facebook page and website are public, the other share options are private. In accordance with school policy, no names of individuals will be released with any photographs.

    We consent to the use of photos of our child/children/other family members taken during the school year on:

  • How did you find the Dutch School of Silicon Valley?

  • COVID-19 Protection Plan

    The Dutch School Silicon Valley follows all local, state and federal guidelines regarding COVID-19 protection and prevention. Please read our COVID-19 protection plan and agree to follow the rules and regulations. By signing you acknowledge that you have read the plan and will follow the rules and regulations in it.
  • Dutch School Silicon Valley COVID-19 Protection Plan.pdf (LINK)

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  • 30 Day Cancellation Period

  • Enrollment for the school is for the duration of the entire school year.

    The school takes on obligations for rent and teaching expenses based on the number of students in the classes. These costs can not be adjusted quickly. The school asks parents to give the school reasonable time to adjust its operations. The school uses a cancellation period of 30 days.

    School tuition will be charged for the 30 days after the first day of the month follwing the submission date of the cancellation request, regardless if the student is able to attend class or not.

    For parents that pay full year tuition, the balance is calculated and remaining credit will be refunded using the 30 day cancellation period.

    HOW TO CANCEL

    You can cancel enrollment by emailing the director and treasurer via  director@dutchschoolsiliconvalley.org and penningmeester@dutchschoolsiliconvalley.org.

    More information and these email addresses can also be found on our website: http://www.dutchschoolsiliconvalley.org

     

  • Tuition Payment Options

  • After registering the DSSV will try to place your student(s) in the best class.

    Only when your student is placed in a class will the tuition and registration charges apply.

    Tuition Contribution per student:

    • USD 1465 (USD 165/month) without employer reimbursement.
    • USD 2160 (USD 240/month) when you receive employer reimbursement.
    • Third child discount: 40% on the tuition for the third child.
    • School materials and books contribution: USD 50 / year

    Regstration Fee per Family:

    • There is a yearly non-refundable registration fee of USD 100 (per family). The DSSV waives the registration fee when paying the yearly tuition in full before the beginning of the school year.
    • Additionally registration fee is reduced depending on when you finalize your registration. The discounts are shown in the table below:
    Registration date before: Discount on Registration Fee:
    1st of May 2022 75%
    1st of June 2022 50%
    1st of July 2022 25%
  • Payment preferences

    Tuition contributions are done via ACH. The tuition is automatically transferred from your bank account to the bank account of the school. We have the ability to accept Credit Card for select situations.

    The tuition can be contributed as a full year amount or in 9 monthly payments. When you contribute the full year tuition before the start lessons, the school will waive the registration fee for the year.

    I choose to contribute the tuition in 1 full year payment or 9 monthly payments:

  • Payment Methods

    The School has a prefence to use direct bank to bank transfers (ACH) to reduce transfer costs and required volunteer time. You would quickly pay USD 45 per student per year to the payment provider to use a credit card. With using ACH you would save that money and perhaps use it for something more usefull.

  •  -  -
    Pick a Date
    • ACH  
    • The school will set up an automatic payment schedule with the bank account of your choice. Please take care when filling in the numbers as to prevent errors.

    • Credit Card  
    • prev next ( X )
      USD
      Credit Card Details
  • Waive and release

  • The undersigned (the “Signer”), being the parent(s) and/or legal guardian(s) of the minor child(ren) (the “student”) named at the beginning of this form, for valuable and sufficient consideration, receipt of which is hereby acknowledged, on behalf of themselves and the Child do hereby knowingly and intentionally fully and irrevocably release, to the full extent permitted by California law, the Dutch School Silicon Valley (the “School”), and its board members, directors, officers, sponsors, administrators, staff (e.g. teachers and teaching assistants), employees, volunteers and agents, from any and all claims or liability, known or unknown, of any kind whatsoever, which may now exist, or at any time in the future arise, with regard to any matters relating, directly or indirectly, to the student's enrollment or attendance at the School, or to the Signer’s or the student's participation in any activities directly or indirectly related to, or sponsored or sanctioned by, the School, regardless of whether or not said activities occur on School premises or elsewhere. By our initials below and by our signatures at the end of this form, we knowingly waive and release any and all legal claims that we or the child(ren) may now or in the future have against the School, or anyone connected with it.

    At all times the school staff is authorized to take any measures necessary for the protection of my child(ren).

  • We truthfully filled out this registration and understand what to do next.

    To the best of our knowledge, all the information filled in on this registration form is true and complete. We have read the requirements and are fully committed to complying with them. We understand that payment of the required fees must be made by the payment deadlines outlined. Our signatures below affirm all of the above.
  • We authorize the school to open an account for the student with the Openbare Bibliotheek Amsterdam an provide access to Dutch language ebooks and other resources. 

  • The students enrolling via this registration have received all immunizations required by the CDC for school and child care entry.

  • Should be Empty: