Medina Homeschool Fall 2026 Enrollment

Medina Homeschool Fall 2026 Enrollment Form

Please complete this enrollment form to select your classes at Medina Homeschool for the Fall 2026 semester. Please complete a form PER student. For more information about Medina Homeschool and the enrollment process, please visit: www.mcws.org/medinahomeschool. Any questions regarding enrollment can be directed to Maha at medinahomeschool@mcws.org.
Please Note: We will review each registration and follow up with you to confirm which classes your child has a spot in.
Student Information
Legal Name*

First Name Middle NameLast Name
Grade*
Gender*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student Email*
example@example.com
Parent(s)/Guardian(s) Information
Parent 1 Name*

First NameLast Name
Parent 1 Phone Number*
Format: (000) 000-0000.
Parent 1 Email*
Parent 2 Name

First NameLast Name
Parent 2 Phone Number
Format: (000) 000-0000.
Parent 2 Email
Emergency Information

Please provide the name and contact information of an emergency contact who can be reached if the parents are unavailable.
Name*

First NameLast Name
Relationship*
Phone Number*
Format: (000) 000-0000.
Health Information
Family Doctor

First NameLast Name
Phone Number
Format: (000) 000-0000.
Please let us know if your child has any allergies.*
Please list your child's allergies, if applicable.
List medications if this child is currently taking, if applicable.
MEDICAL WAIVER AND LIABILITY RELEASE*

Medical Care Authorization: In case of an emergency, I authorize emergency medical care for my child(ren) in the event that I cannot be reached. I agree to bear all costs associated with any necessary medical treatment. I release Medina Homeschool, its staff, volunteers, and the Medina Activity Center from claim or liability due to sickness or injury.Liability: I acknowledge the risks associated with the activities offered by the Medina Homeschool, including but not limited to baking, painting, STEM experiments, physical fitness, and outdoor activities, for both on-site and off-site classes. I agree to release and hold harmless Medina Homeschool, its staff, volunteers, and partnering organizations (including, but not limited to MCWS and OVA), from any and all liability, claims, or demands arising out of my child(ren)’s participation in these activities, except in cases of gross negligence or willful misconduct.
If your student has a severe medical condition, please fill out the MMAP form (https://www.oxfordschools.org/documents/for-families/medical-plan-and-medication-forms/736153) and submit it to both Oxford Virtual Academy (OVA) and Medina Homeschool. Please indicate below if you have completed this or is not applicable. *
Enrollment Type

Note: if your classes will be funded by OVA, we will be in communication with OVA to confirm your funding status. If you are a self-pay student, we will email you an invoice. If you are an OVA funded student but would like to take additional courses, you may do so at the self-pay rate.
Please indicate your enrollment type.*

I am a self-pay student. The fees per semester are as follows: $150 for on-site classes, $280 for swimming, $280 for fencing, $420 for horseback riding, $340 for gymnastics, and $450 for kindergarten.I am currently enrolled with OVA as a part-time student (eligible for 4 fully funded courses).I am currently enrolled with OVA as a full-time student (eligible for 2 fully funded courses).I am currently enrolled with OVA as a full-time student, but will be switching to part-time for the Fall 2026 semester (eligible for 4 fully funded courses).I am currently enrolled with OVA as a part-time student, but will be switching to full-time for the Fall 2026 semester (eligible for 2 fully funded courses).I am applying to be a new part-time student with OVA for the Fall 2026 semester (eligible for 4 fully funded courses).I am applying to be a new full-time student with OVA for the Fall 2026 semester (eligible for 2 fully funded courses).
On-Site Classes

Please select your preferred on-site classes to be held on Mondays at the MAC from the options below. Due to limited capacity, enrollment is not guaranteed for every class, especially for the off-site classes. Spots will be filled on a first-come, first-served basis. Also, please note that classes will only be offered if the minimum required number of students enroll. If a class does not meet the enrollment threshold, it may be canceled, and families will be notified in advance. Lastly, please note that OVA funded students can only select TWO of the following: Swimming, Fencing, OR CrossFit. If all three are selected, one will be considered a self-pay class. Thank you for your understanding and support.
1PM - 2PM*
2PM - 3PM*
3PM - 4PM*
4PM - 5PM*
5PM - 6PM*
Off-Site Classes

Select the off-site classes you would like to include in your schedule. Note: OVA Funded students can only select TWO of the following: Swimming, Fencing, OR CrossFit. If you would like to select all three, one of these will be considered a self-pay class. Also if OVA funded for Horseback riding, there is an additional out of pocket cost of $100. NOTE: All off-site classes will require parents to sign a waiver. These will be emailed to you once your registration in the course is confirmed. (Maximum 4 Selection Allowed)
Off-Site Class Selection
Waitlist

If a class you're interested in is currently full, you may select one or more options from the Waitlist dropdown below. This list includes all available classes and activities, and selections are processed on a first-come, first-served basis. Please note that joining the waitlist does not guarantee enrollment. If a spot becomes available in any of your selected classes, we will contact you directly using the information you’ve provided. Waitlist placement may depend on availability, grade eligibility, and overall demand. You may update your waitlist preferences at any time before registration closes.
Waitlist - First Option
Waitlist - Second Option
Waitlist - Third Option
Optional Learning POD

The Medina Homeschool co-op facilitates an optional learning POD for students in grades 1-8. This is available primarily for full time OVA students who receive their curriculum from OVA. However, part time students are welcome to attend if they purchase the same curriculum and parents assist in teaching.
Medina Homeschool POD Involvement*

I am interested in joining the POD.I am not interested in joining the POD.I am still thinking about it/need more information about the POD.
Authorization and Acknowledgement
MEDIA RELEASE*

I understand that members of Medina Homeschool may use various media to record classes and events and to recognize families and their participation and accomplishments, such as classes, graduation, performances, field trips, etc. By becoming a member of Medina Homeschool, I grant permission to use my child’s image/likeness and voice in different forms of print, digital or electronic. This includes but is not limited to public display of flyers, newsletters, special events, advertisement, internet or print.
STUDENT MEMBERSHIP FEES: All students must pay a membership fee of $15 per semester (non-refundable). A link to pay this fee will be emailed to you with your student(s) schedule(s). Your student will not be officially registered until this fee is paid. Please select:*

I understand I must pay the $15 membership fee before my student is officially registered.
COURSE CHANGE FEES: Please note that any course changes made after August 7, 2026 will incur a $15 fee per course. This fee helps cover administrative processing, schedule adjustments, and system updates required to accommodate changes after registration has been finalized.*

I understand that I must pay the $15/ course fee if I need any Medina courses to be adjusted after the deadline of August 7, 2026.
GUIDELINES AND POLICES: https://tinyurl.com/medinaguidelines*

I have read and agree to the Medina Homeschool General Guidelines and Polices
CODE OF CONDUCT: https://tinyurl.com/mhcodeofconduct*

I have read and agree to the Medina Homeschool Code of Conduct
PARENT VOLUNTEER REQUIREMENT: One parent from each household is required to volunteer up to 5 hours per semester to help our program run smoothly. Tasks may include hallway monitoring, assisting with student sign-in/sign-out, or helping with classroom transitions and events. A background check is required for all volunteers and must be completed before your assigned shift.*

I am an approved volunteer from last year.I understand and will complete the form (https://drive.google.com/file/d/1pUk0HgYYrFc4P_M6XyHxwU4iToz0DSZ7/view?usp=sharing) and email it to mhvolunteers@mcws.org.I can not volunteer and would like to pay the fee of $15/hour to hire additional help or arrange for a substitute volunteer.
Do you have any questions/comments/concerns?
Next Steps: The Medina Homeschool staff will send you a class schedule based on your selection, along with an invoice and payment link for your membership fees and any applicable course fees. Once payment is received, we will send you a confirmation, completing your registration.*

I understand and would like to proceed
Should be Empty:

Medina Homeschool Fall 2026 Enrollment Form

Please Note: We will review each registration and follow up with you to confirm which classes your child has a spot in.

Student Information

Parent(s)/Guardian(s) Information

Emergency Information

Health Information

Enrollment Type

On-Site Classes

Off-Site Classes

Waitlist

Optional Learning POD

Authorization and Acknowledgement