Whitney/Oxford Summer Prep Enrollment Form
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Course Description
This 8-week course will preview a selected subject(s) with a goal to improve in necessary skills for the upcoming exams. Classes will be held twice a week. If a student has planned travel, makeup sessions will be available.
Student Name
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First Name
Middle Name
Last Name
Student's Personal Email (Personal Email is required. Do not enter school email.)
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example@example.com
Student Phone (if applicable)
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Please enter a valid phone number.
Parent (Guardian) Name
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First Name
Last Name
Parent Email
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example@example.com
Parent Phone
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Please enter a valid phone number.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's School (The current elementary school for 2024-2025 school year)
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Tell us about which school you are hoping to get into.
Whitney
Oxford
Both
Course Selection (You may choose more than one.)
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English (Twice a week / 1.5 hours per meeting)
Math (Twice a week / 1 hour per meeting)
[English] *Suggested* Schedule Selection (Please choose your preferred schedule, and we will try to match it. If we need to suggest an alternative schedule based on your math level, we will reach out to you as soon as we can.)
Monday and Wednesday 1:30PM-3:00PM
Tuesday and Thursday 1:30PM-3:00PM
Monday and Wednesday 3:00PM-4:30PM
Tuesday and Thursday 3:00PM-4:30PM
I only chose Math.
[Math] *Suggested* Schedule Selection (Please choose your preferred schedule, and we will try to match it. If we need to suggest an alternative schedule based on your math level, we will reach out to you as soon as we can.)
Monday and Wednesday 2:00PM-3:00PM
Tuesday and Thursday 2:00PM-3:00PM
Monday and Wednesday 3:00PM-4:00PM
Tuesday and Thursday 3:00PM-4:00PM
I only chose English.
Notes (You may suggest schedule options that work for you here. Also, leave any messages that you think can be helpful for us to understand the student. You may also want to use this field for more information if you chose "Other" as your answer for the previous question.
[ATTENDANCE] This summer course is taught IN PERSON at 13203 South St. Cerritos, CA in a SMALL group environment with a low coach-to-students ratio (1-4) in order to ensure the best learning experience. Our math grogram staff are experts in what they teach and will pay close attention to all of the students, and all classes during our camp session are MANDATORY to attend, and we will offer makeup schedules during the following week(s) if the student has a planned travel. Please let us know in advance, and we will suggest makeup options.
I agree to the term.
[IN-PERSON] I as a parent or guardian of my child ("student") agree that my child ("student") will attend in-person sessions at Honor Academy's physical location, and I will make sure my child ("student") is in good health before each class session. I agree that Honor Academy may not allow my child ("student") on the premises if they have a fever or a persistent cough. It is in my absolute understanding that Honor Academy will not be held liable if my child ("student") contracts COVID-19 or gets sick after their class session. I agree that Honor Academy and its employees may require my child ("student") to wear a mask during the entire time they are at Honor Academy's physical location if necessary.
I agree to the term.
I chose ONLINE.
[TUITION] The enrollment fee is due upon registration, and the remaining camp fee must be paid before the first day of our camp session. No deposit or tuition is refundable or transferable to others or other programs.
I agree to the term.
[About School Acceptance] We are a reputable educational service provider and guarantee significant improvement in your child's selected subject(s). However, we cannot guarantee acceptance by the listed schools.
I agree to the term.
[CANCELLATION] If the student is unable to attend their enrolled session(s), the parent MUST contact us at least a month in advance or as soon as possible, and we will then assess whether we can move the student to another session or issue a credit for 2026 summer courses. Last-minute notifications, such as those received one or a few days before the start of the session, will not be honored. Please understand we must prepare the camp sessions in advance based on the enrolled students. The credit will only be issued for FULL PAYMENT. The $100 deposit for processing is non-refundable and will not be credited.
I agree to the term.
[Redeem] If you have received any offer from Honor Academy, please enter it here. -This offer is not active for the sibling discount only. Sibling Discount: Second child gets 10% off the REGULAR pricing. Both sibling must be enrolled in our SUMMER Course. How to apply: Please mention "siblings" and enter both children's names in the blank. If you are paying the full payment, we will issue a partial refund for the second child.
Choose options for the payment. If you chose both math and English, two options MUST be chosen.
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English [Deposit] Course Deposit ONLY
The remaining balance of $680 needs to be paid prior to the first class session. An additional invoice for the balance will be emailed to you. This deposit is non-refundable.
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
English [Full Payment] Tuition in Full
The full payment can be credited to 2026 summer courses for unexpected cancelation.
$
780.00
Quantity
1
2
3
4
5
6
7
8
9
10
Math [Deposit] Course Deposit ONLY
The remaining balance of $420 needs to be paid prior to the first class session. An additional invoice for the balance will be emailed to you. This deposit is non-refundable.
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Math [Full Payment] Tuition in Full
The full payment can be credited to 2026 summer courses for unexpected cancelation.
$
520.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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