Homeschool Academy Course Selection Form

Mighty Roots Academy: Homeschool Academy Program Course Selection Form

Student Name *

First Name Last Name

Date of Birth *

Date

Parent/Guardian Name *

First Name Last Name

Phone Number *

What type of enrollment?

Returning family New family

Please rank your 1st and 2nd choice for each course in each block in which the student meets the age requirement. If a student's first choice has reached maximum enrollment, they will be placed in their 2nd choice as long as it is available. Parents will be sent a copy of the student's schedule to accept and verify course placement.

-Ages refer to the student's age as of August 1, 2022.

-Full course descriptions are found on a separate page.

-Enrollment: $100; Tuition: $2500

-2nd student discount: $150; 3rd/Additional child discount: $200

9:35 - 10:35 Course Block 1 *

	Creative Explorations (2 hour block) Ages: 5-7	Read, Write, Draw Ages: 6-10	EPIC Art$20 materials fee Ages: 8-12	Mad Scientist: Intro to Chemistry Ages: 9-15	PsychologyCLEP Prep available $100 CLEP Prep fee Ages: 12-15
1st Preference
2nd Preference

If taking the Psychology course, will this be taken as a CLEP Prep class with the associated $100 CLEP Prep fee?

Yes No

10:35 - 11:35 Course Block 2 *

	Creative Explorations (CONTINUED; please select the same preference for this as selected above) Ages: 5-7	EPIC Art Jr.$20 materials fee Ages: 6-10	My State: Exploring MO/KS Ages: 8-12	Lunch and Discovery Play Ages: 9-15
1st Preference
2nd Preference

11:35 - 12:35 Course Block 3 *

	Lunch and Discovery Play Ages: 5-12	Financial Journey Ages: 9-15	U.S. History to 1877 CLEP Prep available $100 CLEP Prep fee Ages: 12-15
1st Preference
2nd Preference

If taking the U.S. History to 1877 class, will this be taken as a CLEP Prep class with the associated $100 CLEP Prep fee?

Yes No

12:35 - 1:35 Course Block 4 *

	Sensory Science Ages: 5-8	Animal Science Ages: 6-10	Literature Adventures Ages: 8-12	Math Sr. Ages: 10-15	Advanced EPIC Art $20 materials fee Ages: 12-15
1st Preference
2nd Preference

1:35 - 2:35 Course Block 5 *

	Math and Literacy Games Ages: 5-8	The World of Plants Ages: 6-10	Math Games Middle Ages: 8-13	Techies in Training Ages: 10-15	Photography (application required) $20 materials fee Ages: 12-15
1st Preference
2nd Preference

Applying for Service Discount (Complete Service Application. $300 discount by participating in at least 20 service hours) *

Yes No

Plan to pay tuition: *

In Full on July 10th OR Monthly (the 10th of the month; July to April). Includes $10 monthly convenience fee.

*Turn in with Application for Enrollment and Enrollment Fee.