Kingdom Learning Alliance Registration Form

Parent Full Name

First NameLast Name

Student Name / Birthday

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Entering Grade:

PEP/ UA or Self Pay

Does your student have a documented Unique Ability? Yes or No. If yes, what is it?

Are there any medical concerns/conditions/allergies we need to be award of?

SECTION 1: NATURE OF THE PROGRAM Kingdom Learning Alliance is a Christian homeschool cooperative that exists to support and supplement parent-directed education. Parents retain sole responsibility for their student's educational program, academic records, curriculum choices, and homeschool compliance requirements. KLA is not:• A public school• A private school• A daycare provider• A special education provider• A therapeutic program• A counseling service• A behavioral intervention program• A medical or healthcare provider. Enrollment at KLA is a privilege and not a right. KLA reserves the right to determine whether its program, facilities, staffing, supervision model, and resources are an appropriate fit for any student or family.

SECTION 2: ENROLLMENT COMMITMENT AND FINANCIAL POLICIES. Enrollment in any KLA class constitutes a commitment for the entire semester. Payment plans offered by KLA are provided solely as a convenience and do not alter a family's financial commitment to the semester .Registration fees, testing fees, administrative fees, direct-provider scholarship funds, and tuition payments are non-refundable unless otherwise required by law. Failure to make scheduled payments may result in withdrawal from classes, suspension of enrollment privileges, and denial of future enrollment until all balances are paid in full.

SECTION 3: ASSUMPTION OF RISK AND RELEASE OF LIABILITY Parents acknowledge that participation in KLA activities involves inherent risks that cannot be completely eliminated. Activities may include but are not limited to: • Outdoor classes • Physical education • Playground activities • Sports and recreation • Nature exploration • Agricultural or animal-related activities • Campus improvement projects • Field trips • Church property use • General participation in KLA programs Parents voluntarily assume all risks associated with participation, including but not limited to falls, injuries, insect bites, weather conditions, illness, accidents, property damage, and other unforeseen events. Parents understand that KLA does not provide transportation services. Transportation to and from KLA activities remains the responsibility of the parent or guardian unless otherwise communicated in writing. To the fullest extent permitted by Florida law, parents release, waive, discharge, and hold harmless Kingdom Learning Alliance, its directors, officers, employees, volunteers, instructors, contractors, host churches, property owners, and affiliated organizations from any claims, damages, losses, liabilities, or expenses arising from participation in KLA activities.

SECTION 4: EMERGENCY MEDICAL AUTHORIZATION In the event of an emergency, and if a parent or emergency contact cannot be reached, parents authorize KLA staff or representatives to obtain emergency medical treatment deemed reasonably necessary. KLA personnel are not medical professionals and may rely upon emergency responders, healthcare providers, or medical facilities. KLA staff, volunteers, and instructors are not responsible for administering medications unless expressly agreed to in writing by KLA administration. Parents accept full financial responsibility for any medical care, transportation, treatment, or related expenses incurred on behalf of their student.

SECTION 5: PARENT DISCLOSURE RESPONSIBILITY Parents are solely responsible for disclosing any information that may affect the safety, supervision, participation, or well-being of their student. This includes but is not limited to:• Medical conditions• Allergies• Medications• Behavioral concerns• Learning differences• Developmental conditions• Mobility limitations• Safety concerns• Diagnoses requiring accommodations KLA does not conduct evaluations, assessments, screenings, or provide educational, behavioral, therapeutic, psychological, or medical services. Failure to disclose information that may impact student safety or participation may result in immediate suspension or removal without refund. KLA reserves the right to determine whether its staffing, facilities, volunteer resources, and supervision model are capable of meeting a student's needs. Due to limited classroom capacity, each class is restricted to a maximum of ten (10) student seats. Any parent, guardian, aide, ABA therapist, Registered Behavior Technician (RBT), or other support person who must remain in the classroom to accompany or assist a student during class time will be required to occupy and pay for a classroom seat. KLA reserves the right to determine whether sufficient space is available to accommodate such participation and may deny enrollment if classroom capacity limitations prevent accommodation.

SECTION 6: LIMITATION OF SUPERVISIONKLA operates as a homeschool cooperative and not as a traditional school or childcare facility. While reasonable supervision is provided during scheduled instructional periods, KLA cannot provide continuous one-on-one supervision. Students are expected to demonstrate age-appropriate independence, self-control, and the ability to follow directions. Parents remain responsible for supervising students during any break period, free period, transition period, or any time a student is not assigned to a KLA instructor or designated activity.

SECTION 7: STUDENT CONDUCT AND DISCIPLINE Students are expected to:• Treat others with kindness and respect• Follow instructor and staff directions• Demonstrate self-control• Respect property and facilities• Contribute positively to the learning environment Three-Step Discipline Process: Step 1 – Warning and Redirection. Step 2 – Parent Notification and Intervention. Step 3 – Suspension or Removal. KLA reserves the right to immediately suspend or dismiss a student for conduct including:• Physical aggression• Threats or intimidation• Bullying or harassment• Sexual misconduct• Theft• Vandalism• Possession of prohibited items• Repeated defiance• Conduct that jeopardizes safety. No refunds, credits, or tuition reimbursements will be provided for disciplinary removals.

SECTION 8: PARENT CONDUCT AND COOPERATION. Parents agree to:• Communicate respectfully with staff, instructors, volunteers, and families• Follow KLA policies and procedures• Support classroom expectations and disciplinary decisions• Address concerns directly with administration• Refrain from disruptive, hostile, threatening, or defamatory conduct. Enrollment may be suspended or terminated if a parent, guardian, or family member interferes with the safe and effective operation of KLA.

SECTION 9: MEDIA, TECHNOLOGY, AND SOCIAL MEDIA Students may not use technology, social media, photography, recording devices, or electronic communications in a manner that disrupts instruction, violates privacy, harasses others, promotes dishonesty, or negatively impacts the KLA community. Parents and students may not photograph, record, livestream, distribute, or publish images, audio, or video of students, instructors, volunteers, staff, or families without permission. KLA reserves the right to address technology or online conduct that negatively impacts the safety, learning environment, or operation of the organization.

SECTION 10: MEDIA RELEASE AUTHORIZATIONKLA may photograph, video record, or otherwise capture images, audio recordings, or likenesses of students participating in KLA programs and activities. Unless a parent submits written notice opting out, parents grant KLA permission to use such photographs, recordings, and likenesses for educational, promotional, informational, fundraising, website, social media, print, and marketing purposes without compensation. Parents who do not wish their student's image, voice, or likeness to be used must notify KLA in writing prior to participation.

SECTION 11: SAFETY AND PROHIBITED ITEMS The following items are prohibited at KLA activities and events:• Alcohol• Illegal drugs• Drug paraphernalia• Tobacco products• Vaping devices• Fireworks• Pornographic materials• Weapons of any kind• Any item deemed unsafe by administration. KLA reserves the right to inspect personal belongings when reasonable suspicion of a safety concern exists.

SECTION 12: RIGHT TO REFUSE OR TERMINATE ENROLLMENT KLA reserves the right to refuse enrollment, modify participation requirements, suspend enrollment, or terminate enrollment when administration determines that continued participation is not in the best interest of the student, other students, staff, volunteers, families, or the organization. KLA reserves the right to interpret and apply all policies contained within this Agreement and the KLA Handbook. Enrollment decisions are made at the sole discretion of KLA administration. No refunds, credits, or reimbursements shall be provided when enrollment is terminated under this provision.

SECTION 13: I have read the KLA Student/Family Handbook located on the registration page @ klafl.org