Summer Enrichment Program Online Application

Required

2021 SUMMER ENRICHMENT PROGRAM

Student's Namerequired
First Name
Nickname (optional)
Last Name
Parent/Guardian Name #1required
First Name
Last Name
Parent/Guardian Name #2
First Name
Last Name
Does your student have any difficulties or limitations with any of the following?required
Check all that apply
Please list evaluators and dates, if applicable.
Does your student have an IEP for ESY?required
May TQS contact these professionals for more information about your child?required
Please list all allergies, medications and/or chronic conditions for your student.
Tuition and Program Options
Please review the following options carefully, then click on the desired program.
Morning Program (2 classes) $2,342
Choose 1 session
Select one
Select one
Mid-day Program (2 classes plus afternoon) $3,054
This program begins at 10:15am and ends at 3:15 pm.
Select one
Select one
Half-Day Program (4 morning classes) $3,993
This program begins at 8:15 am and ends at 12:30 pm.
Select one
Group Classes
Select three
Full Day Program (4 classes plus afternoon) $4,591
This program begins at 8;15am and ends at 3:15 pm.
Select one
Group Classes
Select three
Optional Services
Check the boxes next to the service(s) you want your student to receive. Each selected service will be administered once per week for a total of five weeks. Listed price represents the total cost for the five weeks.
All sessions are 45 minutes in duration.
1:1 Virtual Tutoring is an additional, optional service.  You may select up to five (5) classes as well as the frequency of each tutoring session.  All sessions will be 45 minutes in duration.
 
To select the Virtual Tutoring option, first select the class(es) from the list below that you are interested in for your student.  Then select the desired number of weekly sessions for each selected class.
1:1 Tutoring Class(es)
Select the desired class(es).
Select the number of tutoring sessions you want your student to receive in the course of a week.
Select the number of tutoring sessions you want your student to receive in the course of a week.
Select the number of tutoring sessions you want your student to receive in the course of a week.
Select the number of tutoring sessions you want your student to receive in the course of a week.
Select the number of tutoring sessions you want your student to receive in the course of a week.
Payment

Option #1, Private Pay:  A $500 non-refundable deposit is required.  Payment may be made by check only.  If your student is enrolled, you agree to pay the balance by June 1, 2021.  All checks should be mailed to the attention of Jenn Gallagher, 250 Meetinghouse Rd, Horsham, PA, 19044.

Option #2, ESY District Funding:  We have entered into an Agreement (settlement agreement or agreement in lieu of FAPE) with our school district.  It is understood that enrollment is not guaranteed until we provide a copy of the Agreement to TQS prior to our student's first day of attendance.

Payment Option Selectionrequired
Select one option as described under the Payment section.
Provide the name of the school district/charter school is you selected ESY District Funding.
I/we understand that The Quaker School at Horsham will need medical, psychological and educational records before an enrollment decision can be made.
Parent/Guardian #1required
First Name
Last Name
Parent/Guardian #2required
First Name
Last Name

Payment Information

Please select a payment typerequired
Please mail a check to: The Quaker School at Horsham 250 Meetinghouse Rd Horsham, PA 19044
Teacher instructing students

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“Before The Quaker School, I felt left out and jealous of other students in my class. Now, I can fit in for the first time in my life.”

-TQS Student

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