Visit Real Life ALCTampa

alclogowork07

Visiting Form

Student Application and Enrollment Form
  • Student Information

  • Please enter a value between 0 and 12.
    Please put "0" for kindergarten
  • Parent Information

  • The Basics

  • We are happy to welcome your child at any time. We currently operate 3 days a week: Tuesday through Thursday, from 10AM to 4PM. Please enter a week that works for you and your child.
  • Tuition for a trial week will be charged at our daily rate (see "Tuition" on the Admissions tab) due on the first day of your trial week.
  • Student Agreement

    These questions are to be answered by the student. (It's fine for the parent to type or enter the information for younger students, but the answers should come from them.)
    An ALC is an environment where students of every age are free to direct their own learning and activities, yet this freedom comes with responsibilities. I understand that I am expected to: 1) Treat others with respect (whether student, volunteer, staff or parent), 2) Behave appropriately for a shared space such that I don't interfere or disrupt others' learning activities, 3) Participate in making, honoring and enforcing rules and structures of the community, and 4) Help solve conflicts when they arise.
  • Parent Questionnaire

    I understand that the ALC provides a real-world learning environment for students to develop self-direction, self-motivation and self-knowledge and as such never requires students to attend specific classes or produce specific work. The school will support students' requests for learning, but does not direct learning activities according to any curriculum. The School Meeting may make certain activities mandatory for the smooth operation of the school. Currently these are: morning meetings, end of day meetings, clean-up, fire drills, and appearing when a complaint has been filed. Beyond these, the choices are up to each child.
  • Emergency Contact and Medical Information

    Please enter contact information for person to alert in case of an emergency.
  • Releases

  • As the legal guardian, I give consent to Real Life ALC to provide all emergency medical and dental care prescribed by a licensed physician (M.D.), Osteopath (D.O.), or Dentist (D.D.S.) required to treat any conditions that are necessary to preserve life, limb and wellbeing of dependent.
  • Please be advised that your child's photograph or video may be taken at various school functions events, and for our yearbook. Do we have your permission to post these pictures on our website, social media sites, and/or printed promotional materials?
  • I give my child permission to play on the trampoline at Real Life ALC, with the understanding that there will be an adult present while he/she is doing so. I, acknowledge that use of a trampoline can be dangerous and may result in serious injury. My child is aware that failure to follow policies will result in the loss of trampoline use privileges, with reinstatement of privileges at the sole discretion of Real Life ALC. I grant my child my permission to participate in trampoline use. I understand the Trampoline Rules and have explained them to my child. TRAMPOLINE RULES: 1) No more than two children at one time unless playing a supervised game with the facilitator. 2) No somersaults, flips, or other tricks allowed unless one on one with facilitator (no others on trampoline at this time. 3) No double-bouncing or other horse-play allowed. 4) There will be no walking on outside rim of trampoline. 5) Nothing allowed in trampoline such as toys, blocks, sticks, balls, etc. I further release Real Life ALC from all responsibility should any injury arise while my child is using said trampoline.
  • I give my child permission to swim in the pool at Real Life ALC, with the understanding that there will be an adult present while he/she is doing so. I, acknowledge that swimming can be dangerous and may result in serious injury. My child is aware that failure to follow policies will result in the loss of pool use privileges, with reinstatement of privileges at the sole discretion of Real Life ALC. I grant my child my permission to participate in pool use. I understand the Pool Rules and have explained them to my child. During outside activities, there is potential for sunburns. Please bring in a bottle of sunscreen with your child's name on it, swimming suit, and towel to be kept in their cubby. Hats and water are also recommended, however we do have filtered ice water.
  • I understand that my child may have opportunities to walk to close-by places, such as the park or to stores. BY CLICKING "I AGREE" ON THIS FORM I AM AUTHORIZING A MINOR STUDENT TO EXIT THE SCHOOL WITHOUT REAL LIFE ALC STAFF SUPERVISION. Real Life ALC will require participants to follow Off-Campus sign‐out and sign‐in procedures, but will not monitor a participant’s whereabouts after they leave the property. The decision to agree to this Off-Campus Release is solely a parental decision. Students who do NOT have parental permission to leave the campus will not be allowed to do so unless supervised by a Real Life ALC staff member, or unless signed out by an authorized adult (see Authorized Adults Release). Real Life ALC planned activities/outings will be chaperoned by Real Life ALC staff and will not require an Off-Campus Release (see field trip release). I allow our (my) child to leave the campus and accept responsibility for and hereby waive, release, and discharge Real Life ALC and its officers, directors, members, agents, representatives and employees from any claim, demand, or cause of action arising out of or in connection with any incident that may occur while he/she is away from the supervision of Real Life ALC staff. We (I) understand that Real Life ALC cannot monitor where students go when given this privilege. We (I) also agree to indemnify and save harmless Real Life ALC and its officers, directors, members, agents, representatives and employees from all claims for loss, damage, or injury sustained by us (me) or by our (my) child whether the same be caused by the negligence of Real Life ALC and its officers, directors, members, agents, representatives, or employees, or otherwise. I grant Campus exit privileges.
  • We Recommend: Teaching Children to Walk Safely as They Grow and Develop: A guide for parents and caregivers
  • This field is for validation purposes and should be left unchanged.