Able to Teach Homeschool Collective (ATHC) Registration for the 2022-2023 School Year
Please fill out the form carefully for registration.
Student(s)
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Sibling(s) 3 years-old or under as of September 30, 2022. Select N/A under Gender if no siblings
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*Child's Name/Allergy:
Parent/Guardian
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
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Responsibility Agreements, Waivers & Signature
I agree to the following Media Release option:
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Internal/External: Any social media platforms shared by members of the community.
Internal ONLY: Within the Slack App, slideshow, newsletter, yearbook and emails.
None
I understand:
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registration is open and the initial non-refundable Facilities Fee is $75/family/school year. This will hold a spot in the community for my family. This fee can be paid via Debit/Credit Card payment below. This fee is due by August 17, 2022.
I understand:
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The Materials Fee of $50/family/semester is necessary to ensure all classes run smoothly. This fee is due no later than 8/17/22. This can be paid below using Debit/Credit Card below, CashApp: $abletoteach, cash or check postmarked no later than 8/17 to Courtney Dunlap #1052 3501 Black Horse Pike STE 530 Turnersville, NJ 08012. NOTE: This fee is non-refundable after 9/21/22.
I understand:
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in order to continue active enrollment, Tuition fees are due by September 21, 2022 (the first day of classes), and all supplies are required to be purchased no later than this date as well. The tuition fee can be paid using Debit/Credit Card below, CashApp $abletoteach or cash or check postmarked no later than 8/17 to Courtney Dunlap #1052 3501 Black Horse Pike STE 530 Turnersville, NJ 08012 by 9/21/22. This fee is 50% refundable until 9/21/22.
I understand:
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I may inquire about payment installments.
I agree to:
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teach and/or assist in other areas of need to ensure a smooth flow of operations for our co-op throughout the school year.
I agree to:
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be in attendance with my student(s) during the in-person co-op day.
I agree to:
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remain home in the event myself or my student(s) have a contagious illness.
I have read:
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the ATHC Faith Statement (see ATHC Policy & Procedures Manual).
I agree to:
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take full responsibility of my family members in exercising due care and diligence while in attendance at Winslow Baptist Church and ATHC functions.
I understand:
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I must read the ATHC Policies and Procedures Manual & sign and return the signature page acknowledging my agreement to abide by the policies and procedures.
I agree to:
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provide a the necessary background check to be in compliance with ATHC.
I understand:
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this information is confidential.
I agree to:
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release, discharge and covenant not to sue, to hold harmless, and waive any claim or action against Winslow Baptist Church, ATHC, ATHC leadership, its agents, owners, directors, and staff from any liability, claims, demands, fault or action whatsoever, arising out of any loss, damage, or injury, including death that may be sustained by me, or any of the property belonging to me, whether caused by the negligence of the releases or otherwise, while participating in such activity, or while in, on, or upon the premises where the activity is being conducted.
My Products
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ATHC Facilities Fee
$
75.00
One-time, non-refundable facilities fee for the entire school year to hold my family's spot in ATHC.
Semester 1 Tuition
$
250.00
You can choose to pay Semester 1's Tuition in full now, but do not have to. Semester 1's Tuition is $250. This is 50% refundable on or before 9/21/22.
Semester 1 Materials Fee
$
50.00
You can choose to pay Semester 1's Materials Fee now, but do not have to. It is due no later than 8/17/22. * NOTE: It is non-refundable after 9/21/22. It can be paid using Debit/Credit Card below, CashApp $abletoteach, or a check mailed to Courtney Dunlap #1052 3501 Black Horse Pike STE 530 Turnersville, NJ 08012.
Semester 2 Tuition
$
250.00
You can choose to pay Semester 2's Tuition in full now, but do not have to. Semester 2's Tuition is $250. This is 50% refundable on or before 1/18/23.
Semester 2 Materials Fee
$
50.00
You can choose to pay Semester 2's Materials Fee now, but do not have to. It is due no later than 1/18/23. * NOTE: It is non-refundable after 1/18/23. It can be paid using Debit/Credit Card below, CashApp $abletoteachhomeschool, or a check mailed to Courtney Dunlap #1052 3501 Black Horse Pike STE 530 Turnersville, NJ 08012.
Total
$
0.00
Credit Card
Responsible Party's Signature
*
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