OPTIMUS LEARNING SCHOOL

Student's First & Last Name

Parent's First & Last Name

Email Address

Phone Number

School

Grade
*If you are inquiring about our summer program, please select the grade that your student will be entering in the Fall.

Which of the following programs do you want to enroll your child in?

After School Program Homeschool Program Summer Camp

Private Lesson (1:1 Tutoring) Semi-private Lesson (maximum 4 students in class)

Group Class School Break

Day: Time:

Would you like to add another lesson? Yes No

Please specify a subject for private lesson (1:1 tutoring):

How many lessons (hours) per week:

Would you like to add another lesson? Yes No

Do you need a pick-up service? Yes No

OLS After School Program With Pick Up

Number of Days/Week	K-6th	7th-8th	9th-12th
5 days (Mon, Tues, Wed, Thurs, Fri)	$700	$750	$800
4 days (Any 4 days/week)	$650	$700	$750
3 days (Any 3 days/week)	$550	$600	$650
2 days (Any 2 days/week)	$450	$500	$550

OLS After School Program Without Pick Up

Number of Days/Week	K-6th	7th-8th	9th-12th
5 days (Mon, Tues, Wed, Thurs, Fri)	$600	$650	$700
4 days (Any 4 days/week)	$550	$600	$650
3 days (Any 3 days/week)	$450	$500	$550
2 days (Any 2 days/week)	$350	$400	$450

*Student pick-up/drop-off is based on availability and students enrolled in our After School Program for 5 days will receive priority.

Schedule	Day & Time	K-6th	7th-8th
Schedule A	M-Th 9-12 pm	$175	$200
Schedule B	M-F 9-12 pm	$200	$225
Schedule I	M-Th 9-3 pm	$200	$225
Schedule II	M-Th 9-6 pm	$225	$250
Schedule III	M-F 9-3 pm	$225	$250
Schedule IV	M-F 9-6 pm	$250	$275