COURSES FOR CREDIT PROGRAM ENROLLMENT Enrollment Agreement for Courses for Credit (Universal) Term*Please Select Term from the drop down menu belowSpring 2020Summer 2020Fall 2020Spring 2021Summer 2021Course Title*Please refer to the Course Schedule page on our website for course title, time/period and availability. Time or Class Period*For summer classes, please specify the time and for Spring or Fall classes choose the class period.Student Name (as appears on transcripts)* First Last Student's Date of Birth* Date Format: MM slash DD slash YYYY Year of Graduation*2020202120222023202420252026Parent or Guardian Name* First Last Mailing Address* Street Address City ZIP Code Parent Cell*Student CellStudent's school to receive transcript*Parent Email to receive progress reports* Student email*How did you hear about us?*My child has already attended HBAMy child's sibling has attended HBAWe were referred by friends.We were referred by school staffWe found High Bluff on the internet.We received a notice in our WeChat groupWe saw an ad on FacebookWe saw an ad in the newspaper.We were referred by IvyMaxWe were referred by AJ TutoringWe were referred by Study HutWe would like to thank the person who referred you to HBA so please type their name below.Emergency Contact Name (other than self)* First Last Emergency Contact Phone (other than self)*Credits*Both semesters 10 credits (equal to full year)Semester 1 only 5 creditsSemester 2 only 5 creditsWho does the student live with?* Both Mother Father Authorization*Please click here to read the full text of our Enrollment Agreement. Please acknowledge that you are aware of the following policies by checking all boxes below: I acknowledge that I'm the parent responsible for paying the entire tuition. A $250 non-refundable deposit is required to reserve a seat in any class The tuition balance due date and confirmation of course details will be stated on your invoice which will be emailed to you within 3 business days of submitting your deposit. Once tuition has been paid, no refunds will be issued. In cases of documented emergencies, a credit will be given. A $25 late fee will be assessed (the charge will recur each month) if payment is not received by due date. A parent must call in absences by 8:00 am Excessive or unexcused absences may incur an extra charge. No grade is guaranteed. Parents may log in to Thinkwave.com to check student progress and to communicate with the teacher. Please contact us if you do not receive log-in instructions the first week of class. Disruptive or disrespectful behavior will not be tolerated. No refund will be given for a partial semester if a student is asked to withdraw from the program. A refund will be given for the 2nd semester. Completion of homework is mandatory. Photo Release*From time to time we take pictures of class activities to post on our website or Facebook page. We would appreciate it if you would allow use to your child's image (no names) without prior consent. I agree to allow my child to be photographed for promotional purposes on our website, Facebook page, or printed materials Special Needs*Please contact an administrator or the teacher prior to the first day of class to discuss any modifications, medications, or special instructions that may help us in working with your child.NoneLearning DisabilityHealth concernADD/ADHDWould you like to meet with the Director to discuss your child's academic needs or to develop an academic plan? This service is free for HBA clients. If yes, please call us at (858) 509-9101 to set up an appointment with our Director.No thank you. Not at this time.Yes, parent will call (858) 509-9101TranscriptsPlease upload your student's unofficial transcript to complete enrollment (An unofficial transcript can be found on your student's Aeries account). Transcripts will allow us to check for necessary prerequisites for the class for which you are enrolling. Is there any information you would like to share with us?Reason for taking the course*Please indicate whether the student is repeating this course to remediate a low or failing grade or is taking it for the first time.Taking the course for the first timeRemediating the course for a higher gradeCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.