Anchor Academy Enrollment Form
Please complete this form and click submit. You will then receive a link to pay your child's enrollment fee for the 2023-2024 school year.
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Student's Full Name (Last, First, Middle) *
Student's DOB *
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DD
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Student's Grade for the 2023 - 2024 School Year *
Student's T Shirt Size *If you have multiple children include each child's name with their t shirt size.
Mother's Name (Last, First, Middle Initial)
Mother's Home Address
Mother's Email
Mom's Phone Number
Mother's Employer
Mother's Driver's License Number
Father's Name (Last, First, Middle Initial)
Father's Home Address
Father's Email
Dad's Phone Number
Father's Employer
Father's Driver's License Number
Student Resides With *
School Year Applying for                                             August 1st, 2023 - May 25th, 2024 *
Required
Please select enrollment option
Clear selection
If part time was selected, please select days of choice. These will be based on a first come first serve basis until our class size is maxed out at 15 students per day. You will receive an email confirming your part time selections. 
Clear selection
Tuition is to be paid in one of the following options. Please put a checkmark beside your choice of payment. Based on the 10-month school year. (August 2023- May 2024) *
Required
Fees - 1. A one time, non-refundable $75 registration fee per student 2. An annual $350 resources fee 3. Annual Tuition (amount varies based on payment method) *Please select both boxes stating that should your student be enrolled in Anchor Academy you understand the fees you are responsible for, based on what you have selected. *
Required
Intellectual Property Statement- Any teaching materials including but not limited to syllabi, course overview, study guides, and any other teaching materials are the proprietary work of individual instructors and/or Anchor Academy. These materials are created specifically for Anchor Academy coursework and its students. Parents and students are strictly prohibited from sharing materials with anyone who is not currently enrolled and paying tuition at Anchor Academy. *
Required
Parental Responsibility: I understand it is my responsibility to withdraw my student from their current school and complete the intent to homeschool paperwork required by the State of Tennessee. I also understand it is my responsibility to register with a local umbrella school of my choice or bear the responsibility of uploading attendance records and report cards (to be provided by Anchor Academy) to the State of Tennessee at all applicable timepoints. *
Required
By signing this enrollment agreement I understand I have agreed to all of the above requirements and Anchor Academy is authorized to verify any information provided. I certify that all information provided is true and Anchor Academy reserves the right to reject this agreement due to any misrepresentation or omission of information provided. Anchor Academy is a Christian based homeschool tutorial program serving Lebanon, TN and surrounding areas by providing teachers to tutor my children in academic areas. However, I understand that I am ultimately responsible for all state required paperwork and the ongoing education of my child. *
Required
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