Admission Form and Church School/Teacher Agreement

Outlook Academy Admission Form (page 1 of 3)
Parent(s) or Guardian(s) Name(s): ___________________________________________________________ Address: __________________________________________________________________________________ City: ________________________________________________, Alabama
Zip: _____________________ Home Phone: ________________________ Daytime Phone (if different from home phone): _________________
Email (required): _____________________________________________________ (Paperwork will not be processed (Please print clearly) without a valid email address.)
Name of County or City Public School System: _________________________________________________
(First­time enrollments must mail a Church School Enrollment Form* for each student signed by the Outlook Academy Administrator to the Superintendent of the County or City Public School System of residence. Addresses are listed on our web site.)
Are you a member of Home School Legal Defense Association (HSLDA)? __________________________
(Although HSLDA membership is no longer required, we strongly advise it. Go to www.hslda.org/join and use our discount code 299725 to receive a discount on your membership.)
Name of Student(s)
Date of Birth
__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Name of Previous School: ___________________________________________________________________
(First­time enrollments must complete a Request for School Records Form* and mail it to the former school to receive records. Parents must keep copies of all records and transcripts.)
Membership Fees (check one)
___ Member of Prattville Primitive Baptist Church: $0 ___ Addition of child to a previous family enrollment: $30
New Family Enrollment Only:
___ Between June 1 and August 1 ($95 annual membership fee plus $30 one­time enrollment fee): $125.00
___ Between August 2 and May 31 ($95 annual membership fee plus $75 one­time enrollment fee): $170.00
Re­enrollment Only:
___ Between May 1 and June 30 ($75 discounted annual membership fee plus $0 re­enrollment fee): $75.00
___ Between July 1 and August 1 ($95 annual membership fee plus $0 re­enrollment fee): $95.00
___ After August 1: ($95 annual membership fee plus $75 re­enrollment fee): $170.00
TOTAL: $ _______________________
* All forms and enrollment procedures are located on our web site at www.outlookacademy.com
Signature Required on Church School/Teacher Agreement on Page 2
Church School/Teacher Agreement (page 2 of 3)
Outlook Academy (The School) is a church school ministry of Prattville Primitive Baptist Church, located in Prattville, Alabama. The School operates under the provisions of Section 16­28­1 et seq of the Alabama Code. The School receives no state or federal funding.
The School administrator shall countersign each student's church school enrollment form. Parents of enrolled students are responsible for submitting the countersigned enrollment form to their student's public school district of residence and keeping a copy of the countersigned enrollment form.
If a student is no longer enrolled at the School, the School shall submit a notice of disenrollment to the Superintendent of the Public School District. Notice of disenrollment shall be delivered to the parents of the student via the last known email address.
Parents of children enrolled in the School shall be considered the teachers of the children whom they enroll. Teachers are solely responsible for selecting curriculum; instructing and testing students; maintaining each student's daily attendance records, grades and transcripts; and awarding a diploma. Teachers must obtain and keep any and all school records from previous schools their children may have attended. Teachers will submit a copy of attendance records to the School at the end of the school year (July). Notice of failure to submit records shall be delivered to the teacher via email one time. Failure by a teacher to promptly report student attendance to the School may lead to disenrollment from the School.
Teachers must notify the School promptly of any contact by school officials and any change of address, phone or email. Failure to notify the School of changes to contact information will be grounds for disenrollment from the School.
If a partial family enrollment is processed, leaving one or more children in public school, an additional fee is due if parents later decide to remove them from public school and add them to the family enrollment.
Failure to pay membership dues by August 1 for the upcoming school year will lead to disenrollment from the School and notification to the Board of Education. ACCEPTANCE
I have read and agree to submit to all policies and guidelines listed here. I understand that, as a homeschooling family under Outlook Academy, I am responsible for the education of my own children and for meeting Alabama homeschool regulations. On behalf of my family, I hold Outlook Academy, Prattville Primitive Baptist Church, and administrators blameless in every aspect related to the education of my children, and I hereby release Prattville Primitive Baptist Church, Outlook Academy, and administrators from any and all liability.
Signature of Parent or Guardian: _____________________________________________________________
Date: _________________________
Please return completed form to:
Outlook Academy
P.O. Box 1027
Millbrook, AL 36054
To be filled out by Outlook Academy Administrators:
Date: _______________________ School Year: _______________________
CHECKLIST (page 3 of 3)
NEW ENROLLMENT ONLY
Your enrollment is not complete and will not be processed without all necessary forms. To remember everything, use this convenient checklist. ____ 1. Mail the following “Certified/Return Receipt Requested” to your child's previous school, not to Outlook Academy:
● ____ Withdrawal Form to officially withdraw from the previous school (if not already withdrawn)
● ____ Request for School Records Form to receive all school records and transcripts (When you receive the school records, keep them with your important files. Do not forward copies to Outlook Academy.)
____ 2. Join Home School Legal Defense Association (HSLDA) at http://www.hslda.org/join using Outlook Academy's discount code of 299725.
____ 3. Fill out a Church School Enrollment Form for EACH child of compulsory age (7­16 years old).
____ 4. Sign and date the Church School Enrollment Form in TWO places: Part I and Part III.
____ 5. Fill out the Outlook Academy Admission Form with your family information.
____ 6. Sign and date the Church School/Teacher Agreement.
____ 7. Check off the following documents as you put them in an envelope to Outlook Academy:
● ____ Church School Enrollment Form(s)
● ____ Outlook Academy Admission Form
● ____ Church School/Teacher Agreement
● ____ Self­addressed stamped envelope (SASE) (Please note postage increase every May!)
● ____ Check or money order made out to Outlook Academy (Please do not staple to forms!)
____ 8. Mail via regular mail to: Outlook Academy
P.O. Box 1027
Millbrook, AL 36054
Upon receipt, the administrator will countersign the Church School Enrollment Form and mail it to you with an acceptance letter explaining how to submit the form to the school superintendent to complete enrollment.
RE­ENROLLMENT ONLY
Without all the necessary forms, your re­enrollment is not complete and you may lose your enrollment status. To remember everything, use this convenient checklist.
____ 1. Renew your membership or join Home School Legal Defense Association (HSLDA) at http://www.hslda.org/join using Outlook Academy's discount code of 299725.
____ 2. Fill out an updated Outlook Academy Admission Form.
____ 3. Sign the Church School/Teacher Agreement.
____ 4. Fill out a Church School Enrollment Form ONLY if either of the following apply:
● You have a child who will turn 7 years old during this school year.
● You have moved this year. (Fill out a new form for each child.)
____ 5. Sign the Church School Enrollment Form(s) in TWO places: Part I and Part III.
____ 6. Check off the following documents as you put them in an envelope to Outlook Academy:
● ____ Outlook Academy Admission Form
● ____ Church School/Teacher Agreement
● ____ Church School Enrollment Form(s) if necessary
● ____ Self­addressed stamped envelope (SASE) only if you enclosed updated Church School Enrollment Form(s) (Please note postage increase every May!)
● ____ Check or money order made out to Outlook Academy (Please do not staple to forms!)
____ 7. Mail via regular mail to: Outlook Academy
P.O. Box 1027
Millbrook, AL 36054
Upon receipt, the administrator will email you. Any countersigned Church School Enrollment Form(s) will be mailed to you with an acceptance letter explaining how to submit form(s) to the school superintendent.