New Hope DANVERS REGISTRATION Packet: Includes tutorials selection, medical forms and Parent Contract.

WELCOME! You are ready to register for courses at New Hope Tutorials in Danvers 2010.

[If you are a new family or have a new child to introduce to New Hope, please make sure you've completed an ONLINE Enrollment Form and be sure to contact us for an interview appointment.]

Please note: If you have more than one child registering for New Hope, you will fill out a separate REGISTRATION FORM for each child. When you're doing a form for a second child, you do not have to repeat general information. Just indicate "see (child's name) form."

Returning families should return their registration forms BY JUNE 1st for best placement opportunities.

New families will be placed in tutorials after June 1 in the order in which they were received.

Thank you!

Part I: Student Information and Parent Contact Information

* Parents' names

* Student's name

* Student's D.O.B./age as of Sept 2010

* Student's (approximate) grade level as of Sept. 2010

* Mailing address

* Family Phone Number

* Other day-time phone number for emergency contact (parent's cell phone, neighbor or friend's phone)

* Work/day-time phone (parent at work or cell phone)

* Parents' Email Addresses

If you are planning to be part of a carpool, please share the names of the families you will be sharing transportation with. If you'd like to create a carpool with others, please note that here as well:

Part II: Family Demographic Information

If you plan to have more than one student at New Hope, you only need to respond the the questions in this section for the first child. Skip for any subsequent children.

Father's place of business

Mother's place of business

Father's areas of expertise (eg. finance, marketing, computer graphics, carpentry, etc.)

Mother's areas of expertise (see above)

Current place of worship (please include town)

New Families: Are you currently part of a homeschool group?

Yes (please name)

ALL NEW FAMILIES – including those who have previously registered for ONLY a Mini-Tutorial or ONLY a workshop – must attend one New Parent Night over the course of the summer. Please commit to one date:

Tuesday, July 20, 7:00 – 8:30 pm

Thursday, August 5, 7:00 - 8:30 pm

Wednesday, August 25, 7:00 – 8:30 pm

Part III: Sign-up for Tutorials

New Hope accepts payments for the whole year, or quarterly or monthly. If you pay monthly, the total cost for the year will be divided over 10 months (September through June), with payment due by the first of each month.

Tutorial meets once a week for 1.5 hours: $72/month (for 10 months).
Tutorial meets twice a week for 1.5 hours each day: $145/month (for 10 months).
Tutorial meets once a week for 2.5-hours (MS Lit):$120/month (for 10 months).

12-week Mini Tutorial (18 hours total): $245 plus $5 course fee ($250 one-time fee)

Please note: All tutorials require a minimum number of students. Most courses require 6 minimum, but foreign language courses require 10 minimum. Tutorials will not exceed 12 students.

SEE New Hope’s COURSE DESCRIPTIONS at www.newhopetutorials.org

Be sure you are well-informed before registering.

Check those tutorials you wish to register for. PLEASE PRIORITIZE YOUR CHOICES in the space provided. You may also wish to designate one or more additional tutorials as alternates in case one of your primary choices is not available.

6TH & 7TH GRADE TUTORIALS (usually 11-12 year olds)

All lower middle-school tutorials meet ONLY on Mondays as indicated.

Middle School Literature and Writing (2.5 hours, offered Mon morning & afternoon)

World History and Geography (one 90-minute tutorial on Mon morning)

Exploring Science (one 90-minute tutorial per week)

Middle School Art (one 90-minute tutorial per week)

I am interested in knowing more about the Mime Workshop.

I am interested in knowing more about the Acting and Playwriting Workshop.

SCHEDULING DISCLAIMER:

The following represent our family's potential day/time conflicts. I understand that New Hope will do its best to work around the following: travel time over 40 minutes; carpool commitments; and public school sports. I have noted these below. I understand that accomodation of other commitments cannot be guaranteed. A final disclaimer has been noted on the Parent Contract as well.

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COMMENTS Section: Please give us any further information on your tutorial choices and academic plans for your child this year.

8th GRADE TUTORIALS (usually 13 year olds)

Please note: This year, all 8th grade level tutorials will meet for 90 minutes ONLY ON TUESDAYS AND THURSDAYS, with the exception of Intermediate Lit (see below *).

Intermediate Literature, Writing (recommended for 8th & 9th grades) (SEE BELOW* for more on scheduling)

Spanish I

Latin I

Elements & Principles of Design (one 90-minute tutorial on Th, for 8th grade through high school)

Public Speaking I (one 90-minute tutorial for 8th grade through high school)

Acting & Theatre (one 90-minute tutorial for 8th grade through high school)

Math Lab (one 90-minute tutorial, two days per week)

Discovering Math: Algebra through Geometry (one 90-minute tutorial, two days per week)

* Scheduling preferences for Intermediate Literature, Writing :

I prefer Tu/Th schedule (will meet from 3:10-4:40 and possibly 1:30-3:00 if we have enough students for a second block).

I prefer a M/W schedule.

I can do either T/Th or M/W.

SCHEDULING DISCLAIMER: The following represents our family's potential day/time conflicts. I understand that New Hope will do its best to work around the following: travel time over 40 minutes; known carpool commitments; and public school sports. I have noted all of these below. I understand that accomodation of other commitments cannot be guaranteed. A final disclaimer has been noted on the Parent Contract as well.

COMMENTS section: Please give us any further information regarding your tutorial choices and academic plans for your child this year.

HIGH SCHOOL TUTORIALS (usually 14-18 year olds)

All tutorials meet twice a week for 90 minutes on Tuesdays and Thursdays unless indicated otherwise.

High School Literature Tutorials

Intermediate Literature, Writing (recommended for 8th & 9th grades)

American Literature, Writing I (recommended for 9th, 10th grades)

Classical Literature, Writing (recommended for 11th & 12th grades)

High School History Tutorials

Church History

United States History I: 1600’s to 1864 (recommended for 9th, 10th grades)

Foundations of Western Civilization (recommended for 11th, 12th grades)

High School Science & Math Tutorials

Chemistry (prerequisite: Algebra I)

Math Lab (all levels)

Discovering Math: Algebra through Geometry

High School Public Speaking Tutorials

Public Speaking I (90 min, one day only)

Public Speaking II (prerequisite: Public Speaking I or equivalent exposure; 90 min one day only)

High School Art Courses

Elements and Principles of Design (8th, 9th)

Studio Art I (requisite: Elements and Principles)

Studio Art II (requisite: Studio Art I)

Honors Art (requisite: Studio Art II)

I am interested in HS Art, and trust the art teacher to place my child appropriately.

Please indicate student's prior art experience/study.

High School Acting & Theatre / MIME

Acting & Theatre (90 min on one day only)

MIME TROUPE: My child is currently in the Mime Troupe and plans to continue in the fall.

My student is interested in a Beginners Mime Workshop for older students.

SCHEDULING DISCLAIMER: The following represents our family's potential day/time conflicts. I understand that New Hope will do its best to work around the following: travel time over 40 minutes; known carpool commitments; and public school sports. I have noted all of these below. I understand that accomodation of other commitments cannot be guaranteed. A final disclaimer has been noted on the Parent Contract as well.

* COMMENTS section: Please give us any further information regarding your tutorial choices and academic plans for your child this year.

Part IV: Medical Forms

Please fill out BOTH the Authorization for Medical Treatment section AND the Allergy Alert Form.

* Insurance Carrier (company name)

* Insurance Policy Number

* Local person(s) to contact if parent/guardian cannot be reached. Please indicate order of preference and all contact numbers.

* Physician's name

* Physician's Phone Number

* Dentist's Name

* Dentist's Phone Number

* Special instructions or medical information we should know about your child

* I HEARBY AUTHORIZE EMERGENCY TREATMENT FOR THE ABOVE NAMED CHILD

* DATE OF AUTHORIZATION (today's date)

* I authorize New Hope Tutorials (tutors or staff) to dispense the following medications to my child at the child's request

ALLERGY ALERT SECTION

* Does your child suffer any serious allergies?

Yes, life-threatening

Yes, minor

Other

If your child has an allergy (foods, seasonal, environmental, medications, etc.), please describe this in detail: The elements that trigger the allergic reaction, what the reaction will look like, and any information New Hope needs to know to respond appropriately.

IF YOUR CHILD'S ALLERGY REQUIRES RESPONSE WITH AN EPI-PEN, PLEASE PROVIDE NEW HOPE WITH AN EPIPEN PACK TO ENSURE THAT TWO ARE AVAILABLE IN THE EVENT OF AN EMERGENCY (currently recommended by medical authorities).

PLEASE NOTE: If your child's allergy includes sensitivities to air-borne particles, please know that New Hope cannot ensure your child's safety at our facility, but we will inform the community to assist.

Part V: Parent Contract(s)

Please note: Both parents must sign the contract.

* I have made every reasonable effort to understand the goals, expectations and requirements of my child's tutorials -- including reading course descriptions and meeting and/or talking to the tutor(s) and staff. I therefore take full responsibility for the choice of this tutorial for my child.

Mother agrees

Father agrees

* I understand that students are expected to attend every tutorial unless they are sick or there is a family emergency. New Hope will make every reasonable effort to make up tutorials missed because of inclement weather, scheduling conflicts with landlord, or tutor sickness -- as outlined in the Makeup Policy in the Parent and Student Handbook (found on our website, www.newhopetutorials.org). New Hope is not responsible for making up student absences.

Mother agrees

Father agrees

* I have read the New Hope Tutorials Parent and Student Handbook on the New Hope website at: http://www.newhopetutorials.org/docs/PS%20Handbook%2009-10.pdf

Mother has read the Handbook/agrees to abide by

Father has read the Handbook/agrees to abide by

* SCHEDULE DISCLAIMER: I, the parent, have done my best to avoid scheduling other commitments on New Hope days. I understand that accomodation of conflicts cannot be guaranteed.

yes

* I fully understand the extent of my financial commitment to New Hope; and if my student drops out of a tutorial AFTER the August 1 deadline, then I will remain financially responsible for the entire year's tuition for that tutorial.

Mother agrees

Father agrees

* I realize that, by registering my child, I am delegating to the tutor(s) and the adminstration at New Hope a portion of my parental responsibility for my child's education. Thus, I acknowledge the right of each tutor and/or administrator to establish guidelines or parameters for the following:

Assignments
Discipline during tutorials and while on New Hope property*
Methodology of instruction
Evaluation of student's work, as well as attitude and behavior during the tutorial.

*Rest assured that New Hope Tutors and Adminstrators respect your student as a child of God first and foremost. If discussion or redirection is needed, it will be done with respect, discretion and wisdom -- with your child's best interests in mind as well as the need for classroom order. New Hope's tutorials operate with clear parameters in a friendly and informal structure.

Mother agrees

Father agrees

* I realize that the success of New Hope Tutorials depends upon a supportive community: parents, students, tutors and administrators. I will support the New Hope community and tutors by:

Attending Parent Orientation, Parent-Tutor Night, and other opportunies for instruction or dialogue with New Hope's Director, tutors or Board of Directors.

Donating 3-5 hours of my time and talents to support New Hope over the course of the year.

Assisting with the Annual Appeal Campaign (donations, assistance with bulk mailing, contacting others for donations)

Holding my child accountable for his/her compliance with the Student Contract, with the understanding that repeated or blatant failure of the student to abide by the spirit and letter of the Student Contract may result in probation or termination of student status.

Assuring that my child arrives at New Hope no later than 10 minutes prior to the tutorial.

Recognizing the tutors' and administrators' responsibility to contact me if they have concerns about my child's academic performance, behavior, attitude, etc., and my responsibility to work with New Hope to address those concerns.

Mother agrees to all

Father agrees to all

* I understand that New Hope is a parent-based organization, i.e. one that partners with parents in achieving the academic goals they have for their children, and as such assumes that students will be under the care and authority of their parents throughout the academic year. If at any time my child removes him/herself from under my care and authority, New Hope reserves the right to reevaluate my child's status as a student and New Hope may ultimately terminate that status.

Mother agrees

Father agrees

* I understand that New Hope is an ecumenical Christian organization that "strives to recognize and promote areas of agreement for all Christians" (see full New Hope Statement of Faith: http://www.newhopetutorials.org/mission.htm) and that, therefore, all at New Hope are expected to treat with kindness and dignity everyone in our community, regardless of faith or worship tradition. In addition, I understand that New Hope tutors are committed to interpreting and evaluating all subjects in light of faith and that the tutors, all of whom are committed Christians, are encouraged to share their faith in the classroom.

Mother agrees

Father agrees

LAST STEP: Mail your non-refundable registration fee of $255 (per family) to:

New Hope Tutorials, Inc.
P.O. Box 1133
Middleton, MA 01949

Your registration will not be considered complete -- i.e., your child will not be placed in tutorials -- until your registration fee and GORP release form have been received.

$100 of the above registration fee is applied to your September tuition payment.

$30 of the above registration fee is applied to your first student's FALL GORP event.

Also, don't forget to fill out a GORP form for the community-building orientation session required of New Hope students (see email attachment).

*The only time New Hope will refund the registration fee is if New Hope cancels all the tutorials you have registered for, e.g. because of low enrollment or loss of a tutor.

Check for $255 has been mailed

$30/per additional child in 8th-12th grades (GORP fee)

Check number:

* Date check has been mailed:

Thank you for completing the registration process.

If you have any questions or concerns, contact New Hope Director, Joan Smith at joan.smith@newhopetutorials.org.

* Indicates Response Required