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Oceans Academy Enrollment Form

Assalamu Alaikum Dear Parents,
Thank you for enrolling your child at Oceans Academy. Please complete all required fields and upload the necessary documents. For additional documents, email: info@oalearn.org

Student's First Name

Student's Middle Name

Student's Last Name

What's your Email

Your phone number

What's the student date of birth

Student's Street Address

City, State & Zip Code

Gender

Male

Female

Grade level

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Father's Full Name

Father's Email Address

Father's Phone Number

Mother's Full Name

Mother's Email Address

Mother's Phone Number

Emergency Contact Name

Emergency Phone Number

Emergency Contact Relationship

Other than parents, who is authorized to pick-up your child?

Schedule Preference

Full Day (Monday to Friday 8am to 3:45pm)

Half Day (Monday to Friday 8am to 12pm)

Medical Information: Allergies

Please describe the type of allergy. If food allergy, please give an example of food items to avoid. Type None if not applicable

Medication:

Please indicate whether your child needs to take medication at school, and if it needs to be administered by an adult. Type None if not applicable

Student doctor's name

Medical Insurance

Please provide student insurance name and policy number

TERMS AND CONDITIONS ACKNOWLEDGEMENT

Please provide your acknowledgement by checking each of the terms and conditions below:

TERMS AND CONDITIONS ACKNOWLEDGEMENT

I hereby release and agree to hold Oceans Academy and its affiliates harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of thereof, or that may otherwise arise in any way in connection with any services received from Oceans Academy. I understand that this release discharges Oceans Academy from any liability or claim that I, my heirs, or any personal representatives may have against the above with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Oceans Academy. This liability waiver and release extends to the facility together with all teachers, directors, officers, and employees.

I am/my child will not come/attend if experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell

I/my child will not come/attend if I/my child have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19

I will notify Oceans Academy administration if any of the above statements happened or if any of my household members developed any symptoms ASAP

As the parent/legal guardian of the minor(s) listed above, I hereby grant permission for the student(s) to participate in all the field trips and activities of Oceans Academy. I assume full responsibility for any injuries or damages which may occur to these student(s), in, on, or about the premises of Oceans Academy , or arising out of its activities, and do hereby fully and forever release and discharge Oceans Academy, its board of directors, its employees, staff, and volunteers, from any and all claims, demands, rights of action, or causes of action, present or future, whether same, be known, anticipated or unanticipated, resulting from or arising out of the student participation in the programs and activities of the aforesaid school. I further grant permission to provide emergency first-aid and/or hospitalization to the student(s) listed above in case of injury or illness as deemed appropriate by the school or a physician. Any medical expense incurred for medical treatment shall be my responsibility. I also understand that it is my responsibility to make the office aware of any medicine the child is taking.

I understand that I am required to submit a one-time $750 registration fee for Full Day students and $350 for Half Day students due at the time of enrollment, which is non-refundable. It includes books, field trips, registration fee and technology fee.

I understand there will be a $50 bounced check fee if my check bounces for any reason.

I understand that I am obligated to pay the $700 tuition Grades 1 &up fee for Full Day students, and $525 for Half Day students by the first of the month or a late charge of $50. First time courtesy will be extended

I understand that if I fail to pay the obligated amount, Oceans Academy will contact me with the amount due. Failure to pay within a month period from the time of the contact will result in the dismissal of my child.

Security service fee $50/month per student OR $500 annual one-time fee per student .

I understand that, In the event that I do withdraw my child in the middle of the school year, I will still be responsible for SIX ADDITIONAL months from the time of withdrawal. If notified in week 1 of the month, that specific month will be counted as Month 1.

I understand that If I SWITCH from Full Day program to Half Day program, I will be liable for SIX ADDITIONAL months from the time of change. If notified in week 1 of the month, that specific month will be counted as Month 1

All Oceans Academy students will be required to wear their uniforms everyday Monday through Thursday. NO UNIFORM REQUIREMENTS ON FRIDAY as long as they wear modest clothing:

BOYS - Light Blue or khaki Pants and White- or blue-collar shirt, and Velcro sneakers

GIRLS - Dark blue abayas and blue or white hijab, and Velcro sneakers

I understand that late pick-up fees will be enforced as follows: The first 10 minutes are considered grace period, and $1 every minute thereafter till the child is picked up

I understand that all official communications will be communicated via Oceans Academy emails. Secondary communication channels will be used as re-enforcement, such as, WhatsApp Announcement group.

I understand and agree that I must comply with and adhere to all Oceans Academy policies for the coming academic year. In case of policy change, Oceans Academy will email me the policy change.

I agree to give permission to Oceans Academy to seek emergency medical treatment for my child in the case of an emergency.

I agree Oceans Academy may use my child’s picture in its brochure or Facebook advertising materials without any monetary compensation.

I understand that if I choose to participate in the text messaging service, I will be responsible for all related charges from my carrier and will not hold Oceans Academy responsible for any charges related to this service.

I understand that Oceans Academy will release students to both parents unless a court custody/visitation order is presented.

I give Oceans Academy permission to pull my child's previous school records*

Please enter your child's previous school information: School name, phone number, email address, and physical address*

By typing your full name below, you confirm that you have understood and agree to all the terms and conditions*

By signing below, you confirm that you have understood and agree to all the terms and conditions*

Signature

Please upload all the following required documents:

Copy of original Birth Certificate

Size limit: 10 MB

Updated health form

Size limit: 10 MB

1 passport size photograph

Size limit: 10 MB

Previous school record (Most recently completed grade transcript/report card/standardized test score)

Size limit: 10 MB