OPTIMUS LEARNING SCHOOL

INQUIRY FORM

OPTIMUS LEARNING SCHOOL

INQUIRY FORM

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

How many lessons (hours) per week:
Preferred day and time (i.e. Monday 3-4pm or Tuesday 5-6pm):

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

Schedule	Day & Time	K-3rd	4th-6th	7th-8th
Schedule I	T/Th 9-12 pm	$200	$200	$250
Schedule II	T/Th/F 9-12 pm	$300	$300	$350
Schedule III	M/W 9-12 pm	$200	$200	$250
Schedule IV	M/W/F 9-12 pm	$300	$300	$350

Are you inquiring for more than one student? Yes No

What else would you like to know?

Enrollment

Procedure A (Listed Charter Schools)

If you are currently part of one of the charter schools listed above, you may start by contacting us directly to choose which class option fits best for your child. Then, you will need to get your class request approved by the school before attending so that we may bill them accordingly. Once you've received approval, you can begin taking class and we will take care of the billing.

Procedure B (Unlisted Charter Schools)

If your charter school is NOT on the list above, you can contact your charter school and request that Optimus Learning School become a vendor. Optimus will go through the process of becoming a vendor, and you will then be able to follow procedure A for listed charter schools.

Procedure C (No Program Affiliation)

For students who are being homeschooled that are NOT involved in a charter school program, you may contact us directly. Regular tuition rates will apply.

Tel : 714-990-9902

Email: info@optimuslearningschool.com

06/5/23	06/12/23	06/19/23	06/26/23
07/03/23	07/10/23	07/17/23	07/24/23
07/31/23	08/07/23	08/14/23	08/21/23

First Name		Last Name
School		Grade