Private School Enrollment Form Enrollment Form Christian Cottage Schools Off-campus Enrollment / Registration Form Name First Last Date Date Format: MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneWork PhoneCell PhoneEmail Date you intend to start home schooling Date Format: MM slash DD slash YYYY Student informationEnrolling students*Student NameD.O.B.Last Grade Completed Why do you want to home school?Why have you decided to enroll with Christian Cottage Schools?How (from whom) did you hear about Christian Cottage Schools?Off-Campus Private School Enrollment Contract1. We agree to enroll your entire family under Christian Cottage Schools for twelve (12) months from the date of enrollment. 2. Christian Cottage Schools commits to serve your family and protect your home school freedoms as a private school. 3. Christian Cottage Schools agrees and pledges not to raise your tuition for the one-year life of this contract. 4. Christian Cottage Schools agrees to protect and maintain each student's permanent record/transcript file. 5. Christian Cottage Schools agrees to provide support, advice, and guidance regarding application of curricula, motivation, and other appropriate areas in a timely manner. 6. Christian Cottage Schools agrees that if we err in our prescription of materials, such error will be corrected at no additional cost to you. Enrollment Agreement*I/We hereby enroll my/our child(ren) for a 172-day school year. This enrollment will be in effect for one calendar year from today's date. I/we have read and agree to abide by the terms of the program as shown above. YesNoSignature*Relationship to childParent(s)Custodial parentLegal guardian1.*I agree to pay the costs of testing and registration on the day of testing (unless other arrangements have been made in advance)YesNo2.*I agree and understand that curriculum materials will not be issued until any necessary materials fees are paid in full. YesNo3.*I agree and pledge to pay the full $750.00 family tuition within thirty (30) days of testing. Or, I may set up payments (up to 10 $80 payments for a total of $800). YesNo4.*I agree to keep Daily Record Charts and/or High School Credit Hour Report Forms as evidence of work performed, and provide copies of these reports to Christian Cottage Schools at least quarterly. YesNo5.*As a Christian Cottage Teacher, I agree to complete a total of 172 days of instruction and a Report Card for each enrolled student and submit Report Card(s) to the Christian Cottage Office at the close of each semester (86 days) I/we complete. YesNo6.*I understand that Christian Cottage Schools commits staffing and support for the entire year based on the number of families enrolled. Therefore, I understand that this contract is non-cancelable, and I accept this commitment even if I must disenroll prior to the end of the year. YesNo7.Colorado Residents Only: I understand that I am teaching my child at home under the Colorado Private School Law, and therefore I am NOT obligated to follow home school regulations regarding biannual testing and counting of hours. YesNoSignature*I understand and agree to abide by and fulfill my part of the enrollment contract with Christian Cottage Schools. I also agree to contact the office with any questions or concerns as they apply. Individual Child Profile Family Profile Learning Behavior Rating Scale