Home School Application Form

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1 Home School Application Form School Year: Check One: New Enrollment (application fee $175) Re-Enrollment Program (Choose one or both): Private Satellite Program (PSP) On-Campus Home Schooler Athletics-Sports (PSP only) Student Last Name: Date of Birth: Student First Name: Grade: Father: Last name First Name Home: ( ) Cell: ( ) Custody Rights Financially Responsible Receive Correspondence 1 Marital Status: Married Separated Divorced Widowed Single If parents are separated or divorced, who has legal custody? Mother: Address: Last name First Name street apt # city state zip Home: ( ) Cell: ( ) Custody Rights Financially Responsible Receive Correspondence Marital Status: Married Separated Divorced Widowed Single If parents are separated or divorced, who has legal custody? Address: street apt # city state zip

2 Are both parents of the child(ren) present in the home? Yes No With whom does the child(ren) live? Note: If parent who is choosing to home school the child(ren) does not have full and legal custody, a Letter of Agreement to Home School from the separated or divorced spouse will be required for completion of enrollment. Church your family attends: If On-Campus Supplemental Classes were chosen, please check off which classes: **Fees are listed per Semester per Student **Multi-child discount applies for on-campus fees Elementary Band or Royal Choir (4 th -5 th ) 2 days per week $299 Art (K-5 th ) 1 day per week $179 PE (K-5 th ) 5 days per week $679 Classroom Music (K-3 rd ) 1 day per week $179 Athletics-Sports (PSP only) 5-6 Basketball (5 th & 6 th grade) Basketball (MSHS Boys & Girls) Track & Field (MSHS Boys & Girls) Cross Country(MSHS Boys & Girls) Soccer (MSHS Boys & Girls) Softball (MSHS Boys & HS Girls) Volleyball (MSHS Boys & Girls) Tennis (HS Boys & Girls) Baseball (HS Girls) **Prices for Athletic-Sports vary per team Middle School (classes meet 5 days per week) $858 per class Bible English Math History Science PE One Elective Class A or B **$429 Two Elective Classes A & B Elective(s): High School (classes meet 5 days per week) $975 per class Bible English Math History Speech (12 th grade) Science PE Elective: 2 How did you hear about Redwood Christian School Home School Program? Transferring into RCS PSP? Name & Address of school holding academic records: If NOT in RCS PSP Name & Address of school that holds your records this year: Who will be the primary teacher and where will schooling take place (address)?

3 Education Primary Teacher Supplemental Teacher High School Attended. Graduated? College and Degrees earned Other Schooling Other Qualifications How many years have you Home Schooled? Why do you want to Home School your child? Emergency Information My child has the following medical conditions of which you should be aware: My child regularly takes the following medications either at home or at school: The following are authorized to pick-up my child from school: Name Phone # Name Phone # 3 My child may take: Tylenol Ibuprofen NONE Insurance Company: Policy #: Doctor: Doctor s Phone #: Preferred Hospital: Permission is granted for the above-named student to be given appropriate medical care in case of an emergency or life-threatening situation when circumstances are such that it is impractical or unreasonable to obtain my consent. (However, I understand Redwood Christian Schools will contact me as soon thereafter as is reasonable.) In such cases, I will assume responsibility for the cost of those related emergency medical services. Parent Signature: Date:

4 Redwood Christian Schools Home School Program PHILOSOPHY OF HOME EDUCATION Redwood Christian School s Home School Program upholds the following Philosophy of Home Education: We believe that children are a gift from God. (Psalm 127) We believe that God has equipped parents to train up a child in the way he should go. (Proverbs 22:6) We believe the responsibility for education rests upon the parent. (Ephesians 6:4) We believe that parents, under the direction of the Lord, possess the wisdom, knowledge, and understanding to successfully educate their children. (James 1:5) We believe that each family is uniquely designed by God, and thus, no two home educational environments are identical. (I Corinthians 12:4-11) We believe that not only is it the parents God-given duty to diligently teach, nurture, and direct their children (Deuteronomy 6:5-7), but it is also their constitutional right. RCS Home School Program is a Christian ministry. We are here to support, assist, guide, and help make accountable those families who have accepted the challenge of home educating their children. PARENTAL REQUIREMENTS / RESPONSIBILITIES Be led of the Lord into home schooling Have a willingness to sacrifice personal time Have a determination to help their child(ren) to be all that God planned Invest personal prayer and study time for their home school Appropriate Christian education must be thoughtfully conceived and diligently implemented. 4 I/We understand that Home Schooling requires the parent/teacher s personal interaction in the student s daily instruction along with monitoring, recording, and keeping files of student s progress. I/We understand that, in order to act as the instructor for the student, the parent/teacher may not work, attend school, nor be involved in any activity that will regularly intrude upon the school hours of the student. I/We agree to attend scheduled meetings with our Family Coordinator or Educational Partner and turn-in paperwork on time. Paperwork may include, but not be limited to: textbook list, course descriptions, quarterly goals, student work portfolios, attendance records, grades, report cards, etc. I/We understand that failure to attend scheduled meetings or failure to keep our fees current may result in termination of our participation in RCS Home School Program. We (I) understand and believe that it is our (my) responsibility to educate our (my) child(ren) and that Redwood Christian Schools Home School Program will not be liable or responsible for our (my) child(ren) s educational achievements or any lack therein. We (I) also understand that enrollment in Redwood Christian School Home School Program does not guarantee absolute legal coverage. We (I) will not hold Redwood Christian School Home School Program responsible in the event of any legal action against us (me) by any public agency regarding our (my) educational program. I have read the above philosophy of Home Education and the Parental Requirements and Responsibilities and agree to them fully. PARENTS SIGNATURES (both must sign if applicable): Father Date Mother Date _

5 Redwood Christian Schools Statement of Faith The basis of Redwood Christian Schools is the Word of God as interpreted by the following statement of faith: 1. We believe the Bible to be the inspired and only infallible recorded Word of God. 2. We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit. 3. We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. 4. We believe that for salvation of lost and sinful man, regeneration by the Holy Spirit is essential. 5. We believe in the present ministry of the Holy Spirit, by whose indwelling the Christian is enabled to live a godly life. 6. We believe in the resurrection of both the saved and the lost: they that are saved unto the resurrection of life, and they that are lost unto the resurrection of damnation. 7. We believe in the spiritual unity of believers in our Lord Jesus Christ. Check one of the boxes and indicate by signature your degree of support for the Statement of Faith. [ ] I have read the above Statement of Faith and testify that it reflects my own convictions and understanding regarding the Christian faith and I fully support the statement as written without mental or spiritual reservations. Print name Signature - Father Date 5 Print name Signature - Mother Date [ ] I support the Statement of Faith except for the area(s) listed and explained on the back of this paper. The exceptions represent either disagreements or items for which I have not yet formed an opinion or conviction. _ Print name Signature - Father Date _ Print name Signature - Mother Date HOME SCHOOL PROGRAM USE ONLY Date rec d Payment Type Payment Amount Renweb Family ID Interview Date Interview By Date Enrolled

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