684 South 700 East, St. George, Utah 84770 435-773-3766 Please fill out this Student Information & Sign-Up Form. Order Number Student Information & Sign-up Form Today's Date Start Date Student Name Student Email (To use to invite to Zoom) Date of Birth Age Grade Parent/Guardian Parent/Guardian Address Address Email Phone Email Phone Registration I, parent-guardian of hereby apply to register said student in the Ascent Advantage Academy LIVE ONLINE SCHOOL. Parent-Guardian Signature Acceptance Date Live Online School Tuition Contract between Ascent Advantage Academy, a dba of Beehive LDS Schooling, LLC. and , parent or guardian of , the Student Services Said parent hereby agrees to pay Ascent Advantage Academy a monthly tuition of $180.00 (One Hundred and Eighty and no/100_dollars) in consideration of Ascent Advantage Academy providing instructional educational services. For recurring monthly payments, I prefer for my card or paypal account to be charged on the 1, 5, or 10 of the month. Select one of the following: 1st of the month 5th of the month, 10th of the month, I understand that the monthly tuition will be charged to my credit card or PayPal account on a monthly basis until I notify Ascent Advantage Academy that I no longer wish to engage their educational services. Subjects taught in the LIVE Online School include: Scripture Study, Language Arts, Mathematics, Social Sciences, and Science. In addition, the student will have 24/7 access to the online curriculum to study other subjects. WITHDRAWAL OF STUDENT BEFORE END OF SCHOOL YEAR If it should become necessary for me to withdraw my student, I understand that my tuition obligation is as follows: I understand that no refund will be given of any paid tuition, nor will any refund be given for any part of the month during which the student is withdrawn. I further acknowledge that after withdrawal, I have no further tuition payment obligations. Parent or Guardian Signature High School Only I understand that the Ascent Advantage Academy program offers my student an individualized, faith-promoting, academically rich, college preparatory education which results in the awarding of the Ascent Academy Diploma and a transcript of work done and grades received. The Ascent Advantage Academy Diploma requires 32 credits and may include work done at other schools as well as LDS Seminaries. I further understand that the Ascent Advantage Academy high school program is not at present accredited. I understand that at the present time my student cannot receive a regionally accredited diploma through Ascent Advantage Academy and high school credits earned at the Academy may not transfer to another school. I further understand that for my student to fully earn the Ascent Advantage Academy Diploma he/she must pass the GED and be granted a high school diploma thereby. Parent-Guardian signature Date Submit
