HOMESCHOOLING APPLICATION - Quakertown Christian School
Quakertown Christian School
50 East Paletown Road
Quakertown, PA 18951
FOR OFFICE USE ONLY:
Date received: ________________________
Registration Fee: ______________________
HOMESCHOOLING APPLICATION
Student Information:
Last Name: __________________________ First Name: __________________________ Middle Initial: ______________
Address: ___________________________________________________________________________________________
City: ____________________________________ State: ____________________________ Zip Code: ________________
Phone: ________________________________________ Emergency Phone: ____________________________________
Email: _______________________________________________ Birthdate: ____________________________________
School attended during previous year: __________________________________________________________________
Address: __________________________________________________________________________________________
City: ___________________________________ State: ____________________________ Zip Code: ________________
Teacher: _______________________________ Grade Entering: _______________ Last Grade Attended: ____________
Ever dismissed, suspended, or disciplined in any school? ___________
If yes, explain: _______________________________________________________________________________
Family Church: _____________________________________________________________________________________
Address: ____________________________________________________________________________________
Pastor(s): ___________________________________________________________________________________
Where did you first hear about Quakertown Christian School? ______________________________________________
Please select the programs your child will be participating in at QCS:
Elementary K-5:
?
Core Courses:
Grades 6-8:
?
Core Courses:
Grades 9-12:
?
Core Courses:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
?
Enrichment Courses:
?
Enrichment Courses:
?
Enrichment Courses:
___________________________
___________________________
___________________________
___________________________
___________________________
__________________________
Athletics:
?
Girls (list sport): __________________________________
?
Boys (list sport): __________________________________
Father¡¯s Information:
Father¡¯s Last Name: _______________________ Father¡¯s First Name: ____________________ Middle Initial: ________
Address: __________________________________________________________________________________________
City: ___________________________________ State: ____________________________ Zip Code: ________________
Email: _________________________________________________ Phone: ____________________________________
U.S. Citizen (yes/no): _____________ Religious Denomination: ______________________________________________
Marital Status: _______________________ Occupation: ___________________________________________________
Employer: ___________________________________________ Employer Phone: _______________________________
Employer Address: __________________________________________________________________________________
Mother¡¯s Information:
Mother¡¯s Last Name: _______________________ Mother¡¯s First Name: ____________________ Middle Initial: _______
Address: __________________________________________________________________________________________
City: ___________________________________ State: ____________________________ Zip Code: ________________
Email: _________________________________________________ Phone: ____________________________________
U.S. Citizen (yes/no): _____________ Religious Denomination: ______________________________________________
Marital Status: _______________________ Occupation: ___________________________________________________
Employer: ___________________________________________ Employer Phone: _______________________________
Employer Address: __________________________________________________________________________________
In completing this application, I understand that¡
1. My child will participate in field trips/school activities as part of the program in which they are enrolled.
2. I agree to authorize this school to use such discipline as it deems wise and expedient for my child.
3. The school reserves the right to dismiss any student who does not respect its spiritual standards or
cooperate in the educational program.
Signature of both parents is needed.
Father: ________________________________________ Mother: ______________________________________
Date: ___________________________
Date: _____________________________
Quakertown Christian School Homeschool Program
Homeschool Program Rationale
Quakertown Christian School desires to contribute to and support homeschooling families in
the community through partnership in education, enrichment, and athletics. Local school
districts are responsible to establish, monitor and regulate these homeschooling programs.
QCS assists families who are already in an approved, regulated homeschooling program by
providing opportunities to participate in academic and enrichment classes and athletics.
Participation in these programs will only be opened up if there is space within the class or
program.
Homeschool Program Options
1. Instructional Materials - QCS will make instructional material available as the school
supplies permit. Homeschooling families can choose to rent textbooks from QCS at a
cost of $40 per year. Textbook rental is required for all core academic courses.
2. Regularly Scheduled Classes - Homeschooled students may participate in the following
classes as there is room in the classroom and for those registered in the program:
? Enrichment courses (Grades 5-12)- including music, art, physical education,
conversational Spanish, and library instruction.
? Music Program ¨C including instrumental and strings instruction, ensemble and
band which practice during the school day.
? Middle School Academic Courses (Gr. 6-8) - Spanish, English, Literature, Social
Studies, Science, Bible and Math
? High School Academic Courses (Gr. 9-10)- English, Science, Math, and Bible
3. After School Sports - Girls' Volleyball, Girls' and Boys' Basketball, and Track/Field and
Boys' Soccer will be offered for students in Gr. 5 - 12
4. Chapels, Special Assemblies, and Events - Home schoolers would be welcome to
attend Chapels, Special Assemblies and Events (including Race for Education and Field
Day) if enrolled for a regularly scheduled class at QCS.
5. Library Use - The QCS Library facilities may be used on a regular basis under the
Librarian's supervision when a class is not in session. Books and videos may be
borrowed.
Scheduling and Admissions Procedures
All homeschooled families wishing to participate in the homeschool program need to complete
the following steps to register and enroll.
? Complete the Homeschool Program Application for Admission
? Pay the $75 Homeschool Program Registration Fee
? Students enrolling in academic courses will be required to attend an admissions interview
and records review with the Admissions Director and School Administrator.
Revised 3-26-17
Responsibilities of the Home School Family
1. Complete the QCS Home School Student Application
2. Be subject to school regulations while the home schooler is participating in a school
program or activity.
1. Pay all tuition costs prior to first class.
2. Support QCS in your prayers and with a positive spirit.
6. Attend QCS events and activities in which your child participates.
Homeschool Program Grade Reporting
Homeschool students in grades K-5 who are registered for enrichment classes will be provided
with a letter stating that the student participated in the enrichment course and stating the grade.
Students who are enrolled in academic courses in grades 6-10 will be provided with a login to
review grades throughout the course and a grade report at the end of the year indicating the
final grade. Transcripts for courses can be requested and may incur a separate fee.
Homeschool Program Fees
Registration Fee*:
$75 per family per year
*A yearly registration fee is required for each family.
Grades K-8
? Enrichment Courses (1X per week)
? Core Academic Courses (5X per week)
? Textbook Rental (required for academic courses)
Grades 9-12
? Enrichment Class** (2X per week)
? Core Academic Courses** (4-5X per week)
$350 per year
$550 per year
$40 per year
$500 per year
$1,000 per year
**All High School courses will include a grade report for record keeping purposes.
Music Program (Grades K-12)
? Instrumental Lessons/Group Lessons
? Instrument Rental
Sports Program (Grades 5-12)
? Middle School Sports***
? High School Sports***
$350 per year
See Music Director
$100
$150
***Physical and permission forms required to enroll. See Athletic Director for more information.
Revised 3-26-17
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