OPTIMUS LEARNING SCHOOL

Student's First & Last Name

Parent's First & Last Name

Email Address

School

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

Phone Number

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

After School Program Homeschool Summer Camp

Private Lesson (1:1 Tutoring) Private Group Lesson

Group Class GATE AP Classes SAT Prep

Piano (1:1 Lesson)

Do you need a pick-up service? Yes No

OLS After School Program

OLS After School Program

OLS After School Program

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

Schedule	Day & Time	K-6th	7-12th
Schedule A	Mon - Thurs: 9 - 12pm	$150	$175
Schedule B	Mon - Fri 9 - 12pm	$175	$200
Schedule I	Mon - Thurs 9 - 3pm	$175	$200
Schedule II	Mon - Thurs 9 - 6pm	$200	$225
Schedule III	Mon - Fri 9 - 3pm	$200	$225
Schedule IV	Mon - Fri 9 - 6pm	$225	$250

Are you inquiring for more than one student? Yes No

What else would you like to know?

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