'24-'25 Enrichment Program Enrollment Form

Enrichment Program

Enrollment Form
Program Option
Parent Name

First NameLast Name
Are you legally allowed in CA to make educational decisions about the student?

YesNo
If you are not the biological parent or custodial parent, please submit any POA or court orders to show that you legally are allowed to make educational decisions on behalf of the student.
Parent Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Legal Name

First NameLast Name
Student Preferred Name/Nickname
If they do not use one, please write N/A
Student Birthday

MonthDayYear
Date
Student Current Grade
Does the student have/need an IEP or 504 Plan?

YesNo
If yes, please describe the IEP or 504 Plan
Please submit copy of plan after enrollment approval.
Current School
If homeschooling privately, write PSA

Emergency Notification Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship to Student
Please list all adults who are allowed to drop off/pick up student.
Valid, current ID will be needed for pick ups.

Does the Student have any food allergies?

YesNo
If yes, please describe/list foods.
Does the student have any medical conditions/needs?

YesNo
If yes, please describe.
Will the student require any medication to be stored on site and/or administered during the time that the student will be enrolled?

YesNo
If yes, please describe.

What are your students interests and/or hobbies?
Do you have any educational concerns or subjects that your student needs more help on?

YesNo
If yes, please describe.

Programs

Enrichment Program
2 Day - M/W or T/Th
3 Day - M/W/F or T/Th/F

We offer 2 or 3 day programs, with the normal bell schedule. The enrichment students are able to participate in all virtual and regular field trips.

On enrichment days, we allow the students to have time to work on any math or language arts curriculum that they are currently using. During this time, they will have access to a tutor, if needed, for extra help. After our lunch time, we do art, elective classes, hands on science labs and group social studies projects.

Drop off time is between 8:45 am - 9 am. School starts at 9 am and ends at 3 pm. Students may be picked up as late as 4 pm.

2 Day - $300 per month
3 Day - $350 per month
** Charter Funds Accepted**

Elective Schedule

Monday - Arts & Crafts

Tuesday - ASL

Wednesday - Spanish

Thursday - Zoology

Friday - Educational Game Time

Full Time Learning Program
Mon - Fri

Our regular session for school goes from mid-August to mid-June. See the calendar for start and end dates of each year.

School is 5 days per week, Monday through Friday. Drop off time is between 8:45 am - 9 am. School starts at 9 am and ends at 3 pm. Students may be picked up as late as 4 pm.

In the Full Time Learning Program, students attend the center 5 days per week, from 9 am to 3 pm. Students will be provided all the materials and curriculum they need! Students will be taught by a CA credentialed teacher and allowed to work at their own pace. Students will receive Semester Report Cards, optional Monthly Progress Reports and an official transcript (if they need to enroll in college or attend another public school).

Students will work on math and language arts in the morning, with access to tutors (if needed). After lunch period, they work on science or history, along with the fun electives, like art, music, and games.

$600 per month
** Charter Funds will only cover up to $300/350 depending on the charter**

Registration Fee
The registration fee is $25 per family. This cost is not covered by charter school funds and must be paid by the family.
How will you pay the registration fee?

Enrichment Program

Registration Fee

Charter Info