HSD Fall 2025 Financial Agreement
HSD Parent Name
First Name
Last Name
Homeschool Day Fee and Student Insurance
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( X )
Family with only one student
$100.00
$
100.00
Family with two students
$200.00
$
200.00
Family with more than two students
$250.00
$
250.00
Student Insurance (one-time fee that covers the entire school year)
Number of student age 5 and older
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
I understand these fees and agree to pay them upon registration. The preferred method of payent is check or cash due to the high surcharge of PayPal.
Submit
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