Rise Hybrid Homeschool Interest Form

Rise Hybrid Homeschool Interest Form

Offering Private School and Homeschool Options
Parent:*

First NameLast Name
Parent Phone Number:*
Please enter a valid phone number.
Preferred Contact Email:*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please Enter Student(s) Name(s):*

First NameLast Name
Student Age:*
Student Birth Date:*

MonthDayYear
Date
Student Grade:*
Grade level for 2022-2023 school year
2nd Student Name:

First NameLast Name
Student Age:
Student Birth Date:

MonthDayYear
Date
Student Grade:
Grade level for 2022-2023 school year
3rd Student Name:

First NameLast Name
Student Age:
Student Birth Date:

MonthDayYear
Date
Student Grade:
Grade level for 2022-2023 school year
4th Student Name:

First NameLast Name
Student Age:
Student Birth Date:

MonthDayYear
Date
Student Grade:
Grade level for 2022-2023 school year
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op director and teachers need to be aware of.
2024-25 Academic Year Pricing Structure

1. Academic Courses:
- Includes foreign language classes offered virtually
- Based on our Private School Calendar
- Monthly tuition: $80 - $200
- Features• Live instruction • Certificate of completion for each course
2. Elective Courses:
- Offered once to twice weekly, based on interest
- Annual tuition: $250 - $400 per course * Please note:
- All courses (academic and elective) require payment through our Tuition Management System.
- Pricing may vary based on course complexity and duration.
  
  For detailed information on specific course fees or to discuss payment options, please contact our Admissions Office.
Student Core Class Selections "IP" In person, "V" virtual "VIP" either option:

US History (V)Language Arts (V)Writing Course (V)Math (V)Science (V)K-3rd Science Instruction (V)K-3rd Reading Instruction (VIP)K-3rd Math Instruction (VIP)
Student Class Elective Selections "IP" In person, "V" virtual "VIP" either option:*

Lego Club (IP)Book Club (VIP)Foreign Language (V)Music Theory 1 (VIP)Music Theory 2 (VIP)Debate (V)Real world Project based learning (VIP)Financial Literacy (V)Theatre (IP)Beginner Sewing (VIP)Private Piano Lessons (IP)Art (VIP)Gardening (IP)Physical Education (VIP)Bible Studies (IP)STEAM Activities (IP)Cooking (V)Basic Website Design
If selecting "Private Piano Lessons" please indicate how many 30 minute sessions a week and any additional instrument seeking instruction including "vocal" in the box below:
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op director and teachers need to be aware of.
Parent Signature:*

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