"Providing professional education for homeschooling families since 2013" HOME HOMESCHOOL CLASSES ABOUT US CONTACT INFO REGISTRATION HOME HOMESCHOOL CLASSES ABOUT US CONTACT INFO REGISTRATION Registration Form 2020-2021 Student Name: Date of Birth: Grade Level ---7th8th9th10th11th12th Address: Parent/Guardian Name: Parent/Guardian Phone: Parent/Guardian Email: Classes: (select all the classes that the student will be taking) Tuition is $100 a month per student/per class (automatically charged the 5th of each month to a credit/debit card; tuition is non-refundable) English: Jr. High EnglishSr. High English Math: Pre-AlgebraAlgebra 1Algebra 2 Science: (A one-time Lab Fee of $50 will be applied to the following classes: Biology & Chemistry) Earth/Space ScienceBiologyChemistry History: American History (Jr.)World History (Sr.) Fees: (all fees automatically charged at the time of enrollment; fees are non-refundable) Registration Fee: $75 Technology Fee: $60 Online Testing Fee: $50 Lab Fee: $50 (applied to the following classes: Biology & Chemistry) Transcript Request: $75 (automatically charged upon registration) Projected graduation date: Homeschool Evaluation $75 (automatically charged upon registration) SAT/ACT Prep Class (select one): $150 (automatically charged upon registration) SAT Prep Classes: ---Sept. 1 - Sept. 24Feb. 16 - Mar. 11Apr. 20 - May 6 ACT Prep Classes: ---Sept. 29 - Oct. 22Mar. 30 - Apr. 15May 18 - June 10 The Homeschool Connection admits students of any race, color, national and ethnic origin to all the rights, privileges and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies or other school-administrated programs. The Homeschool Connection and The Tutoring Terminal offer a hassel-free automated payment system. Tuition is automatically charged the 5th of each month. A receipt will be emailed to you and the charge will appear on your bank or credit card statement. Due to processing costs, there is a $25 charge for insufficient funds or late payment requests. I AUTHORIZE THE HOMESCHOOL CONNECTION, LLC TO CHARGE MY CARD INDICATED BELOW ON THE 5TH DAY OF EACH MONTH FOR PAYMENT OF MY ACCOUNT BALANCE. Credit Card Information: Cardholder Name Card Number Expiration Date CVV ZIP Code One-Time Payment Total: Recurring Payment Total: Electronic Signature (type your name) Date I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify The Homeschool Connection, LLC in writing of any changes in my account information or termination of this authorization at least 5 days prior to the first day of the next month. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF), I understand that The Homeschool Connection will post an additional $25 charge. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute the scheduled transactions with my bank or credit card company; provided the transactions correspond to the terms indicated in this authorization form. I HAVE READ THE ABOVE AND AGREE TO THE TERMS AND CONDITIONS Registration Form 2020-2021 Student Name: Date of Birth: Grade Level ---7th8th9th10th11th12th Address: Parent/Guardian Name: Parent/Guardian Phone: Parent/Guardian Email: Classes: (select all the classes that the student will be taking) Tuition is $100 a month per student/per class (automatically charged the 5th of each month to a credit/debit card; tuition is non-refundable) English: Jr. High EnglishSr. High English Math: Pre-AlgebraAlgebra 1Algebra 2 Science: (A one-time Lab Fee of $50 will be applied to the following classes: Biology & Chemistry) Earth/Space ScienceBiologyChemistry History: American History (Jr.)World History (Sr.) Fees: (all fees automatically charged at the time of enrollment; fees are non-refundable) Registration Fee: $75 Technology Fee: $60 Online Testing Fee: $50 Lab Fee: $50 (applied to the following classes: Biology & Chemistry) Transcript Request: $75 (automatically charged upon registration) Projected graduation date: Homeschool Evaluation $75 (automatically charged upon registration) SAT/ACT Prep Class (select one): $150 (automatically charged upon registration) SAT Prep Classes: ---Sept. 1 - Sept. 24Feb. 16 - Mar. 11Apr. 20 - May 6 ACT Prep Classes: ---Sept. 29 - Oct. 22Mar. 30 - Apr. 15May 18 - June 10 The Homeschool Connection admits students of any race, color, national and ethnic origin to all the rights, privileges and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies or other school-administrated programs. The Homeschool Connection and The Tutoring Terminal offer a hassel-free automated payment system. Tuition is automatically charged the 5th of each month. A receipt will be emailed to you and the charge will appear on your bank or credit card statement. Due to processing costs, there is a $25 charge for insufficient funds or late payment requests. I AUTHORIZE THE HOMESCHOOL CONNECTION, LLC TO CHARGE MY CARD INDICATED BELOW ON THE 5TH DAY OF EACH MONTH FOR PAYMENT OF MY ACCOUNT BALANCE. Credit Card Information: Cardholder Name Card Number Expiration Date CVV ZIP Code One-Time Payment Total: Recurring Payment Total: Electronic Signature (type your name) Date I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify The Homeschool Connection, LLC in writing of any changes in my account information or termination of this authorization at least 5 days prior to the first day of the next month. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF), I understand that The Homeschool Connection will post an additional $25 charge. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute the scheduled transactions with my bank or credit card company; provided the transactions correspond to the terms indicated in this authorization form. I HAVE READ THE ABOVE AND AGREE TO THE TERMS AND CONDITIONS Student Name: Date of Birth: Grade Level ---7th8th9th10th11th12th Address: Parent/Guardian Name: Parent/Guardian Phone: Parent/Guardian Email: Classes: (select all the classes that the student will be taking) Tuition is $100 a month per student/per class (automatically charged the 5th of each month to a credit/debit card; tuition is non-refundable) English: Jr. High EnglishSr. High English Math: Pre-AlgebraAlgebra 1Algebra 2 Science: (A one-time Lab Fee of $50 will be applied to the following classes: Biology & Chemistry) Earth/Space ScienceBiologyChemistry History: American History (Jr.)World History (Sr.) Fees: (all fees automatically charged at the time of enrollment; fees are non-refundable) Registration Fee: $75 Technology Fee: $60 Online Testing Fee: $50 Lab Fee: $50 (applied to the following classes: Biology & Chemistry) Transcript Request: $75 (automatically charged upon registration) Projected graduation date: Homeschool Evaluation $75 (automatically charged upon registration) SAT/ACT Prep Class (select one): $150 (automatically charged upon registration) SAT Prep Classes: ---Sept. 1 - Sept. 24Feb. 16 - Mar. 11Apr. 20 - May 6 ACT Prep Classes: ---Sept. 29 - Oct. 22Mar. 30 - Apr. 15May 18 - June 10 The Homeschool Connection admits students of any race, color, national and ethnic origin to all the rights, privileges and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies or other school-administrated programs. The Homeschool Connection and The Tutoring Terminal offer a hassel-free automated payment system. Tuition is automatically charged the 5th of each month. A receipt will be emailed to you and the charge will appear on your bank or credit card statement. Due to processing costs, there is a $25 charge for insufficient funds or late payment requests. I AUTHORIZE THE HOMESCHOOL CONNECTION, LLC TO CHARGE MY CARD INDICATED BELOW ON THE 5TH DAY OF EACH MONTH FOR PAYMENT OF MY ACCOUNT BALANCE. Credit Card Information: Cardholder Name Card Number Expiration Date CVV ZIP Code One-Time Payment Total: Recurring Payment Total: Electronic Signature (type your name) Date I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify The Homeschool Connection, LLC in writing of any changes in my account information or termination of this authorization at least 5 days prior to the first day of the next month. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF), I understand that The Homeschool Connection will post an additional $25 charge. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute the scheduled transactions with my bank or credit card company; provided the transactions correspond to the terms indicated in this authorization form. I HAVE READ THE ABOVE AND AGREE TO THE TERMS AND CONDITIONS