New Families 2026-27

Registration 2026-2027

New Families: Santa Cruz Learning Center
Welcome to the Santa Cruz Learning Center Homeschool Community!
We’re so glad you’re here and excited to learn with your family.

Please complete this form if any of the following apply:
- You are new to Santa Cruz Learning Center
- You are registering a student who has never attended SCLC homeschool classes before
  You are a returning family registering a new student for the first time
- You need to provide or update family, contact, emergency, or medical information for a student not already fully registered with us for the 2026–27 school year
Use the Continuing Family Registration Form INSTEAD if:
- Your student has already attended SCLC homeschool classes
- You are not registering a new student, and your family information has not changed.
If you only need to add or drop a class, please email us directly, and we’ll be happy to help.

If you are unsure which form to complete, please contact us before submitting. We’re happy to help make sure you use the correct form.
STUDENT NAME

First NameLast Name
GRADE LEVEL: Fall 2026
STUDENT EMAIL
Middle and high school students are asked to provide a personal email address so we can communicate about grades and assignments. PLEASE DO NOT ENTER PARENT EMAIL HERE. If your student doesn't have an email, leave this part blank.
STUDENT CELL PHONE
If applicable. Please do not enter a parent cell phone here. If the student does not have a cell phone number, please leave this blank.Format: (000) 000-0000.
NAME: PARENT/GUARDIAN 1

First NameLast Name
EMAIL: PARENT/GUARDIAN 1
example@example.com
CELL PHONE: PARENT/GUARDIAN 1
Format: (000) 000-0000.
MAILING ADDRESS PARENT/GUARDIAN 1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does the student live full time with parent/ guardian 1?
If no, please describe when the child stays with parent or guardian 1.
Relationship(s) of parent/guardian 1 to the student (mother, father, etc.)
NAME: PARENT/GUARDIAN 2

First NameLast Name
EMAIL: PARENT/GUARDIAN 2
example@example.com
CELL PHONE: PARENT/GUARDIAN 2
Format: (000) 000-0000.
Does the child live full time with parent or guardian 2?
If no, please describe when the child stays with parent or guardian 2.
MAILING ADDRESS: PARENT/GUARDIAN 2 if this is the same as parent/guardian 1. please leave this part blank.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship(s) of parent/guardian 2 to the student (mother, father, etc.)
Participant Information

Tell us a little about the student
DOB of Student:

MonthDayYear
please enter in mm-dd-yyyy format
SCHOOL
Has your child been diagnosed with any learning exceptionalities and do they have an IEP or a 504 plan?
If you answered yes to the question above, please provide us with more information. Do you have specific tools and/or learning/teaching strategies that have been successful? Are there accommodations that we should be aware of?
If applicable, could you share their IEP or 504 plan report with our education team? Please email this to santacruzlearningcenter@gmail.com
Has your child ever been asked to leave an educational or extracurricular class or program due to behavioral issues? If yes, please describe below. If no, please enter no.
What is the name of your Education Specialist/Educational Consultant?

First NameLast Name
Education Specialist/Consultant Email
example@example.com
Emergency Contact Information

Please let us know who to contact in the event of an emergency if we are unable to reach Parent or Guardian 1 or 2.
Emergency Contact 1:

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Relationship to Student:
Emergency Contact 2:

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Relationship to Student:
Emergency Contact 3:

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Relationship to Student:
Payment Options:
Fees are listed by the semester, and families may choose one of the following payment methods:
- Pay in full at the beginning of the course and receive a $20 discount per class
- Split the semester fee into five monthly payments
- Ocean Grove Charter School families using instructional funds
  - Will be billed monthly through their purchase order (PO) and are not eligible for the $20 discount.
  - Please ask your Education Specialist (ES) to generate a PO for the full semester price of your selected course(s).
How do you plan to pay for course fees from Santa Cruz Learning Center?

Other
If paying by self-pay (not by purchase order), who is the person responsible for payment of course fees at Santa Cruz Learning Center?

First NameLast Name
What is the email of the person financially responsible for course fees?
Leave blank if you are paying with Ocean Grove funds
Phone number of financially responsible person
Leave blank if you are paying with Ocean Grove fundsFormat: (000) 000-0000.
Medical Insurance Information
Medical Insurance Carrier
Name of Insured
Policy Number
Group Number
Name of Primary Care Physician:
Phone number of Primary Care Physician

Area CodePhone Number
Name of Dentist:
Phone Number of Dentist:

Area CodePhone Number
Health Information
Does your child take medication?
If your child takes medication, please specify with details.
Does your child have asthma?
Does your child carry an inhaler for their asthma?
Has your child been diagnosed with ADD or ADHD?
Is your child allergic to any of the following? Please select all that apply
If you answered yes to any allergies, please describe the reaction and the severity of the allergies that you indicated.
Does your child carry and epipen?
Are there any other health or behavioral conditions or information that you would like to share with us? If so, please describe below.
COURSE ENROLLMENT
Flexible Attendance Options

Unless otherwise indicated, all of our high school and middle school courses are available both in person at Santa Cruz Learning Center and live via Zoom.

All Elementary classes are only available in person.

Registering Multiple Students?

Please complete a separate form for each student you are registering.
Elementary Courses

Skip this section if you are not registering for elementary courses.
Descriptions for each elementary course can be found here.

Please select the elementary course(s) you would like to register for. Grade levels listed are suggestions. Prices are per semester.

Rows	Select to register
Everything Class (K–1st), Melanie $650
Everything Class (2nd–3rd), Melanie $650
Everything Class (4th–5th), Jenn $650
Number Ninjas (4th–5th), Malika $650
Adventures in Science (1st-5th), Jenn $650
Language Arts (5th–6th), Tiffany $650
U.S. History (5th–6th), Tiffany $650
Young Detectives (4th–6th) Jenn $550
Beyond the Book (2nd–4th), Melanie $650
Writing WonderLab (3rd–5th), Melanie $550

Middle School

Skip this section if you are not registering for middle school courses.
Descriptions for each middle school course can be found here.

Please select the middle school course(s) you would like to register for. Grade levels listed are suggestions. Prices are per semester.

Rows	Select to register
ASL 1 (6th-12th), Melanie $650
Integrated Math I (6th-12th) Malika $650
Language Arts (7th-8th), Jenn $650
Language Arts (6th-7th), Tiffany $650
Life Science (6th-8th), Jenn $650
Physical Science (7th-8th), Malika $650
Pre-Algebra (6th-12th), Malika $650
Spanish 1 (6th-12th), Susana $650
U.S. History & Geography (5th-7th), Tiffany $650
World History (6th-8th), Jenn $650

High School

Skip this section if you are not registering for High school courses
Descriptions for each high school course can be found here.

Please select the high school course(s) you would like to register for. Grade levels listed are suggestions. Prices are per semester.

Rows	Select to register
Adulting 101, Jay $650/sem
Algebra 2, Malika $650
ASL 1 (6th-12th), Melanie $650
Biology w/Lab, Malika $700
Chemistry w/Lab Malika $700
Criminology & Law, Malika $650
English 9, Jay $650
English 11, Jay $650
Government (one semester), Jay $650
Integrated Math 2, Malika $650
Integrated Math 1, Malika $650
Marine Biology w/Lab, Jenn $700
Personal Finance, Jay $650
Physics w/Lab, Malika $700
Prealgebra (6th-12th), Malika $650
Spanish 1 (6th-12th), Susana $650
U.S. History (Zoom Only), Jay $650
World History, Jay $650

High School and Middle School students, how do you plan to attend?
For middle and high school courses only. Elementary courses are only taught in person.
RELEASE SECTION
Photo and Video Release: Santa Cruz Learning Center may occasionally take photos or videos of students during classes and events for use in promotional materials (e.g., website, flyers, or social media). Do we have your permission to use photos or videos of your child for promotional purposes?
Financial Responsibility: The parent or guardian signing this form agrees to be financially responsible for all fees owed to Santa Cruz Learning Center under this agreement. Please sign below to indicate that you have read and agree to these terms.
Supervision Policy: Santa Cruz Learning Center is responsible for your child only while they are in class. Elementary students will be supervised until an approved adult arrives for pickup. Middle and high school students attending multiple classes with breaks in between will have access to a designated space at the center where they can wait quietly and independently. If you have any concerns, please discuss rules and boundaries with your child and their instructor(s) to ensure expectations are clear. Please sign below to indicate that you have read and agree to these terms.
Emergency Medical Authorization: In the event of illness or accident, I authorize the Santa Cruz Learning Center to secure emergency medical treatment for my child (or myself, if applicable) as deemed necessary. I understand that I am responsible for any resulting medical expenses. Please sign below to indicate your agreement with these terms.
Behavior and Dismissal Policy: The Santa Cruz Learning Center reserves the right to dismiss any participant who does not show respect for the facility, including—but not limited to—disrespect toward property, equipment, policies, other students, volunteers, or staff. Participants who are dismissed for behavioral reasons will not receive a refund of fees paid. Please sign below to indicate your agreement with these terms.
Liability Waiver and Release: The Santa Cruz Learning Center and its employees, independent contractors, and volunteers assume no responsibility for personal property. By signing this enrollment form, I (we) hereby waive any and all claims against the Santa Cruz Learning Center and its employees, independent contractors, and volunteers. I understand and agree that, by signing this agreement, I am relinquishing my right (or the rights of the minor for whom I sign) to make any claim—including the right to sue—for bodily or personal injury, property damage, or any other loss that may occur while participating in or using Santa Cruz Learning Center services, except as limited by law. Please sign below to indicate your agreement with these terms.
Name of person signing this registration form

First NameLast Name
Should be Empty:

Registration 2026-2027

Participant Information

Emergency Contact Information

Medical Insurance Information

Health Information

COURSE ENROLLMENT

Elementary Courses

Middle School

High School

RELEASE SECTION