2024-2025 Registration Form

Tilden Preparatory School

1231 Solano Ave.

Albany, CA 94706

registrationalbany@tildenprep.com

www.tildenprep.com

(510) 525-5506
2024-2025 Registration Form

Remote - NEW STUDENTS
Status*

Full-timePart-time
Is this student new to Tilden?*

YesNo
Student Information
Full Name*

First NameMiddle InitialLast Name
Student's Birthdate*

MonthDayYear
Please upload a recent image of your student for their Tilden profile.*

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Student's Gmail Address*
Student's Cell Phone Number*
Sex/Gender*
Pronouns*

She/Her/HersHe/Him/HisThey/Them/TheirsOther
Student's Birthplace*

CityStateCountry (e.g., USA)
Name of Current/Previous School*
Current Grade Level*
Expected Year of HS Graduation*
In an effort to share what is happening in our community, Tilden takes photos at events and shares these photos through our newsletters, website, social media, etc. If you would NOT like us to use your student's image, please check here:

Please do not use my student's image.
How were you referred to Tilden?*
Please tell us more about how you were referred to Tilden.
Parent/Caregiver Information
Parent/Caregiver 1 - Full Name*
Parent/Caregiver 2 - Full Name
Parent/Caregiver 1 - Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Parent/Caregiver 2 - Address (If Different)

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Parent/Caregiver 1 - Email*
Parent/Caregiver 2 - Email
Parent/Caregiver 1 - Home Phone
Parent/Caregiver 2 - Home Phone
Parent/Caregiver 1 - Work Phone
Parent/Caregiver 2 - Work Phone
Parent/Caregiver 1 - Cell Phone*
Parent/Caregiver 2 - Cell Phone

Academic Accommodation Needs

If your student has an IEP, 504 plan, or Neuropsych report, it is required that we get this information to ensure that we can best meet the needs of each individual student.*

	Yes	No or N/A
IEP
504 Plan
Neuropsych Report
Additional Documentation

Please upload any additional documentation you'd like to provide so that we can best meet your student's needs.

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Please provide any additional information about your student's needs or other special circumstances.
Please tell us about your student's interests and learning styles, or give any suggestions regarding successful learning strategies to help us provide the best learning environment for your student.

Course Selection

FULL-TIME STUDENTS

Families of full-time students should sign up for a scheduling consultation with the Heads of School to determine the best course selection for the year. Scheduling consultations can be arranged via Calendly.

PART-TIME STUDENTS

If your student is attending Tilden part-time, please list the courses below:
Course Selection
Tutoring Only - Tutoring is to supplement courses taken outside of Tilden. These courses will not show up on the student’s transcript and are not for credit.
Please upload any transcripts* and/or grade summaries that you feel may be helpful for scheduling your student.

*Transcripts are REQUIRED for new full-time students.
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Has concurrent enrollment been discussed with the school of record's advisor/counselor?

YesNo
Are any of these courses being taken in preparation for a placement exam?(See our Polices & Fees, p. 4)

YesNo
If you would like to discuss additional details of your student's enrollment or class schedule, please schedule a meeting with our Associate Head of School, Justine Molina!
Scheduling Options

Our school year officially begins on WEDNESDAY, AUGUST 21, 2024 and ends on THURSDAY, JUNE 5, 2025.
Preferred Start Date:*

MonthDayYear
Classes are generally scheduled three days a week on M/W/F, twice a week on T/TH, or at the same time every day Monday through Friday. Please look at the charts below and select your student’s availability. Classes are not available during the weekend. We will do our best to accommodate your request, however, we cannot guarantee any specific instructor or time slot, as schedules are assigned on a first-come, first-served basis.
2 DAYS PER WEEK: Availability (T/Th)
3 DAYS PER WEEK: Availability (M/W/F)
5 DAYS PER WEEK: Availability (M-F)
OTHER SCHEDULING REQUESTS*:
*If the needs of your student do not fit into Tilden's typical schedule, please discuss your scheduling concerns with the Head(s) of School.
Instructor Preferences:

Acknowledgements
Handbook Acknowledgement

Parent Acknowledgement

I have reviewed the current Parent & Student Handbook for Tilden Preparatory School and I agree to abide by the rules outlined therein.
Parent Name*
Parent Signature*

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Date*

MonthDayYear
Policies & Fees Acknowledgement

I have reviewed the 2024-2025 Policies & Fees document for Tilden Preparatory School and I agree to abide by the policies outlined therein.
Parent Signature*

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Date*

MonthDayYear
Transcript Release

I hereby authorize Tilden Preparatory School to release my/my child’s transcripts to designated schools or institutions upon my written request. I have read and agree to abide by Tilden's Transcript Policy.
- We require two business days for processing transcripts.
- I understand that one transcript is provided for part-time students to the school of record, and five are provided for full-time graduating eigth or twelfth grade students. All additional transcripts will be billed at $10/transcript.
- For college applications, transcripts can be sent electronically via parchment.com. Tilden is able to provide official transcripts in sealed envelopes, but they must be addressed and mailed by the family.
- Official transcripts are sent directly from Tilden Preparatory School to middle or high schools upon request.
- We require parents to approve their student's transcript (in person or by email) before we send it.
- Questions regarding transcripts can be sent to transcriptsalbany@tildenprep.com.
Parent Signature*

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Date*

MonthDayYear
Student Signature (if over 18)

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Date

MonthDayYear
Group Classes

Though our instruction is primarily one-to-one, parents may choose to coordinate their own small group classes of up to three students per group. Students should have similar learning styles and paces in order to progress through the material effectively. Tilden reserves the right to split up students if the teacher feels that they are not working well together, or if one student is struggling to keep pasce with another. All students must follow the same class schedule and must coordinate any planned absences in advance to coincide with each other.
I am interested in a group class and have coordinated with another student or students.
Name(s) of other student(s) in the group:
Vacation and Absences

All student absences are billed at the full session rate. We are not able to make courses inactive to accomodate vacations. If a family chooses to schedule a vacation when a student is actively enrolled in a course, students are welcome to attend classes remotely.

To notify us that a student will be absent, parents/caregivers are required to email the student's teacher(s) and school administration prior to the start of a scheduled class.

Albany Campus: studentabsencesalbany@tildenprep.com

Student may not cancel their own classes. Email only (not a phone call) from a parent/caregiver is required. To find a teacher's email address, log in to the progress reporting system. For instructions, please consult the current Parent & Student Handbook.

I understand and agree to the Vacations and Absences Policy.
Signature*

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Date*

MonthDayYear
Tilden Community Mailing List

At Tilden, we are always looking for new ways to build relationships between students, parents/caregivers, and families within our community. We are now offering voluntary participation in a Tilden Community Mailing List, community updates sent regularly via email. As part of these community updates, you and your student's first names would be shared along with those of other participating Tilden families so that you may connect with one another and continue building relationships both in and outside of school.
I would like to participate in the Tilden Community Mailing List, and agree to have my first name, my student's first name, and my email shared as part of these updates.
Please provide an email address for voluntary participation in the Tilden Community Mailing List:

Payment Information

Your student will only be scheduled after we have received both the completed registration form and your application deposit.
- To make a payment by ACH, please use the following link: ALBANY ONLINE PAYMENT PORTAL.
- To make a payment by VISA, please call our Albany office at 510-525-5506.
How did you submit payment?*

I called in to make a VISA payment.I used the Online Payment Portal to make an ACH/e-check payment.
The last four digits of the transaction number are:*

Authorization for Release of Information
I/We, parent/cargiver name(s)* , give permission for the Head(s) of School and Director(s) of Tilden Preparatory School to exchange information regarding student name* with the following persons and/or agencies:
Name, Address, Phone/Fax/Email
Email
I hereby release the above persons and/or agencies from any and all legal liability, which may result from the communication of the information referred to above.
Signature*

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Date*

MonthDayYear
Relationship to Student*
Signature

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Date

MonthDayYear
Relationship to Student

Tilden Preparatory School

STUDENT EMERGENCY FORM

Please fill out completely and sign where indicated. In a major emergency, it is school policy to retain students at school for their safety. This form will be used by the school staff when students are released to go home.
Please download and complete the Student Emergency Information Form below.
Please attach your completed Student Emergency Information Form.*

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