Registration for Alongside Hybrid Academy: Session 2 [2025-2026]

Mount Bethel Church is excited to announce the opening of an alternative educational support opportunity for homeschool families: Alongside Hybrid Academy [AHA].

AHA desires to come alongside each homeschool family regardless of the curriculum or approach the family is utilizing for instruction at home.

AHA employs educational best practices with hands-on learning that develops the students' inquisitive discovery of skills and information related to language arts, math, science and history.

AHA integrates Scriptural Truths within the learning structure to encourage our faith walk with the Lord in personal ways on a daily basis.

Feel free to call the church office and leave a message for Dr. Kathy Hontz to call you back, if you have any questions (570-897-7142).

Highlights of the AHA program:
** Three 10-week sessions will be offered for the 2025-26 academic year.

** Classes will be offered in 4 (four) instructional blocks on Tuesdays and Thursdays.

** Morning blocks [10:00 am - Noon]
** Afternoon blocks [1:00 pm - 3:00 pm]

** Families may elect to sign their child[ren] up for 1 (one), 2 (two), 3 (three) or all 4 (four) blocks within a 10-week session.

** Options to join Lunch Power Hour is open for an additional flat session fee [includes enjoying a lunch packed from home, fellowship and fun collaborative activities].

Student's First and Last Name

Birthdate (MM/DD/YYYY)

Grade Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Contact Information

Address

Parent/Guardian 1 First and Last Name

Parent/Guardian 1 Cell Phone [to receive text messages]

Parent/Guardian 1 Email

This address will receive a confirmation email

Parent/Guardian 2 First and Last Name

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

Pick Up Information

Who will be picking up your child most frequently?

Are there any pick-up restrictions for your child?

If there are pick-up restrictions, please describe them.

Emergency Information
In the event of an emergency we will always call 911 first. Please tell us who you would like us to call first, following our call to 911 (even if this is you). This should be the person most able to receive texts and/or calls during our school hours [Tuesday and Thursday from 9:00 am - 3:30 pm].

Emergency contact name

Emergency contact number

Emergency contact relationship

Medical Information

Does child take any medication on a regular basis?

Yes No

Name of medication

What is the medication for?

Are there any special conditions about which your child's teacher should be made aware? e.g. physical, mental, emotional conditions, fears (thunderstorms, animals).

If so, how should we respond or treat this condition?

Allergy Information

Any allergies?

Yes No

Types of allergies

Allergy instructions (please be specific)

Does child carry an EPI Pen?

Yes No

Media Permission

I hereby grant Alongside Hybrid Academy of Mount Bethel Church the right to obtain and/or use my child's photograph, digitized image, video and/or voice recording for educational and informational purposes.

Yes No

Other Information

Siblings: Name, Age, Grade

Does your family currently attend Mount Bethel Church? Yes No

Current church attending

Session & Class Options

Session 1: 16 September - 20 November 2025
Session 2: 2-18 December 2025; 6 January - 19 February 2026
Session 3: 3 March - 2 April 2026; 14 April - 14 May 2026

Creative Language Arts Block [reading, writing, grammar]
Time Travel Block [history & social studies]
Math Manipulatives Block [mathematics]
STEAM Block [science, technology, engineering, arts, math]

Session: [please indicate which session this registration is being submitted for.]

Session 1: 16 Sept - 20 Nov 2025 Session 2: 2-18 Dec 2025; 6 Jan - 19 Feb 2026 Session 3: 3 March - 2 April; 14 April - 14 May 2026

Class Block: [please indicate which class(es) you are signing up for; be sure to check all that you are interested in with this registration for this session.)

TUESDAY AM: History/Social Studies TUESDAY PM: ELA THURSDAY AM: Science/STEAM THURSDAY PM: Math Manipulatives

Lunch Power Hour: [please advise if your child(ren) will be joining us for the lunch hour - family provides packed lunch.]

Yes No

Tuition - Registration - Materials Fee

1 Block = $250 per student per session

Lunch Power Hour [meal provided by family]
..... $25 flat fee per session per student

Family registration = $50 per academic year [due at registration]
Materials fees = $5 per block per student per session [due with payment for your first class(es)]

Sibling discount 15%

Families signed up for all 4 blocks and all 3 sessions will receive a 1-block discount for the 3rd session.

Installment plans available

Payment may be made online or by check.

(1) Online tuition payments (please include the convenience charge in order to help defray the costs of this method of payment) can be paid through our online portal [Mount Bethel Church website - GIVING TAB - scroll to locate the AHA payment options].

(2) Tuition checks are payable to Alongside Hybrid Academy and submitted into the tuition box at the family desk station.

(3) Family Registration must be paid via this online form or check. If making payment with a check, it must be received within 10 [ten] days of submission of this form in order to secure a space for your child on our class roster.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Registration for Alongside Hybrid Academy: Session 2 [2025-2026]

Description

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