Returning Students - Application for Admission

This application is for Spring, Summer and Fall individual classes and half and full day programs. Please complete all required questions ( marked with red asterisk) as they are important in our learning about your child and family's needs and interests. If there are special considerations including Financial need, please list these on the application. (Required questions have an asterisk beside them).

HopeWell campus location: 1205 Broadmoor Drive Bryan Texas 77802

Summer: June 6- july 1. Mon. To Fri. 10am-3pm, July 11 - Aug. 11, Mon. To Fri. 10am-3pm.

Fall: Sept. - Dec.  Mon. to Fri. 10am-3pm
Spring: Jan.-  May  Mon. to Fri. 10am-3pm

To complete registration for your child or young adult, tuition and fees will need to be paid upon receiving confirmation of enrollment in order to hold place for them.

Sign in to Google to save your progress. Learn more
Email *
Student's Name *
Student's Date of Birth *
Current Grade *
Father's Name *
Father's cell phone *
Mother's Name *
Mother's Cell phone *
Hobbies or interests parents would like to share with school or students *
Emergency contact 1 Name *
Emergency Contact 1 Phone number *
What goals, hopes or intentions do you have for your child this year *
Has your child received any additional diagnoses? If so, please provide each diagnosis, all treatments and medications (including dosage and times taken), and providers contact information. *
What would you say is your child's greatest challenge? *
(Fall & Spring only)Which Special Interest classes would you like to enroll your child in?
 Which Summer Enrichment days 10-3pm ($75/day)
Which Summer Enrichment Week(s) are you registering for?  Please list weeks desired
(For Summer Enrichment Camp only)  Special interest selection  
Clear selection
Which Semesters are you applying for? *
Is there any other information you would like to share with us about your child?
If you have further questions you would like us to address, please list here
Do you have a financial need that might inhibit your child from attending our program? If so, please provide details of this financial need.
Please list other siblings attending HopeWell
Are there organizations or businesses you would like us to contact to provide a brochure or a flyer to? Please provide name and contact information
Are there any specific field trips you would like us to schedule for our students? Please detail
By typing my name below I understand that classes sizes are kept small and spaces are limited. The classes I have registered for will be set aside for my child once I have paid the deposit for the semester (which will be credited towards  my child's last month of attendance) or for the week(s) for summer enrichment program. I will submit my deposit for fall and spring semesters at least one month before that term begins. I understand that summer enrichment spaces are also limited and in order to reserve a space for my child I agree to submit payment for my child's week(s) within 1 week of applying for camp. *
By typing my name below I indicate that I understand that there is a supply fee of $75 for partial week students and $145 for full day students for each semester and this must be paid before my child can attend programs and classes.
By typing my name below I indicate that I understand that for Fall and Springs semesters and each Wednesday of Summer Enrichment, there will be additional activity fees for field trips, that I will need to pay for before the day of each trip.  Additionally I indicate my agreement to submit my child's activity/supply fee for each special interest I have chosen for my child and I will submit these with my deposit.   *
HopeWell Classical Day School Release Form  I Release, Discharge, Waiver and Hold Harmless AgreementMedical Attention *I hereby authorize any staff member and/or adult sponsor who may be supervising or directing any activity sponsored by HopeWell, to authorize medical treatment, including but not limited to emergency surgery. I agree to assume liability for any and all costs and expenses incurred, including medical and dental costs, and that HopeWell Classical Day School, its board members, and parent volunteers with them are not responsible. This agreement also applies to all companies and all staff members associated with field trips. (By typing your full name in the space below, you agree to this statement.) *
Liability Release *I understand that the risk of injury from any recreational and work activity is possible, including, but not limited to, the potential for permanent paralysis and death. While my child's BIP and IEP, particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I knowingly and freely assume all risks, both known and unknown, even if arising from negligence, and assume full responsibility for my child's participation and observing of such recreational and work activities. I do hereby release, forever discharge, and covenant to hold harmless HopeWell Classical Day School,  its board members, and parent volunteers, and its staff, from any and all liability, claims or demands for personal injury, sickness and death, as well as property damage and expenses, of any nature whatsoever while participating in any event sponsored by HopeWell Classical Day School. This agreement also applies to any and all activities on or off HopeWell's campus. (By typing your full name in the space below, you agree to this statement. *
Media Release. I hereby grant permission for HopeWell Classical Day School to publish pictures containing images, but not names, of my children on the website and in HopeWell documents to promote the functions of this school. I understand these images will be available in the public domain through the internet. Names and other identifiers will NOT be used to identify people in any published pictures. *
I acknowledge and agree that I have listed all diagnosis information, medications and treatments my child receives in this application. By typing my name below, I confirm agreement that if my child is currently taking any medications or treatments, I will administrator them as prescribed by their physician each day my child is attendance at HopeWell and further acknowledge that if my child has missed their medication treatment, my child cannot attend HopeWell until such time they have received needed medications and treatments. *
Permission to Participate  *I hereby grant permission for my child to participate fully in any and all events and/or activities that are a part of any program or activity on campus for HopeWell Classical Day School. By typing my full name in the space below, I indicate I agree my child may participate in events and activities. *
I understand that in order to assist my child receiving proper supports and to help  safeguard my child, I have provided complete information regarding my child's emotional, mental and physical health needs. I also agree to administer any and all medications my child may need before school and Camp sessions. If at any time my child receives additional diagnosis or there are changes or missed medications, while my child is enrolled in programs at Hopewell, I will inform the director before my child attends the next session. (By typing your full name in the space below, you agree to this statement.) *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy