REGISTRATION (West U Location)

registration procedures (please read carefully!)

  1. Fill out the registration form in its entirety and click submit. Once registered, an invoice including our non-refundable registration fees and tuition for the first month will be emailed to you.

  2. A complete payment of this invoice is necessary for guaranteed placement. We will not pick up any student from school until we have received proper registration and payment. No exceptions!

  3. All outstanding balances must be paid before a student can register for the following year.

  4. A fee will be charged for late pick-ups (after 6:35 pm), failure to notify us of absences (when a student does not need to ride the van to Old School) and returned checks. Those fees are as follows:

    late pickup (after 6:35 pm) $5 per minute
    failure to notify of absence $20 per day

  5. Please list any special needs so we can better serve your student. For special needs students receiving accommodations in school, please call and schedule an appointment to discuss whether we are equipped to offer them the best experience possible. Additionally, parents MUST provide allergy medication for any child with severe allergies to be kept on-site with your location's Site Director.

Child's Name *
Child's Name
Child's Date of Birth *
Child's Date of Birth
Child's Primary Address *
Child's Primary Address
Please select either our monthly program (Monday-Friday) or our part-time option (up to three days a week). For more information see our Tuition page.
Parent 1 *
Parent 1
Parent 1 Phone Number *
Parent 1 Phone Number
Parent 2
Parent 2
Parent 2 Phone Number
Parent 2 Phone Number
Child Lives With *
Parent Marital Status *
Medical/ Personal Information *
Please check all that apply so that we can better assist your child. *Please note, Old School may not be able to accommodate certain needs. If you have questions about whether we are equipped to work with your child, please contact us at 713-510-3164.
Please list any food allergies, asthma, existing conditions and/or prescribed medications. If none, enter "none." For allergies, please list their severity.
Emergency Contact 1 *
Emergency Contact 1
Emergency Contact 1 Phone Number *
Emergency Contact 1 Phone Number
Emergency Contact 2
Emergency Contact 2
Emergency Contact 2 Phone Number
Emergency Contact 2 Phone Number
Media Release *
Old School may at any point take photographs or video of our program at work for such purposes as publicity, illustration, advertising, and web content. I grant Old School LLC and it's representatives and employees permission to take such photographs or videos of my child.
Parent Permission *
Old School ASC will be planning recreational activities for my child and screen a movie for kids on occasion. All movies shown are PG or G rated. If you object to your child watching or specific content please notify your site director in writing. I hereby grant Old School permission to plan daily activities for my child to take part in and to screen movies for my child.
Medical Authorization & Permission to Treat *
I hereby grant Old School ASC permission to take whatever action in its judgement may be necessary in supplying emergency medical services to the named child. I understand that, consistent with the circumstances of the situation and available time, Old School ASC will make every effort to contact and follow the instructions of the parent or legal guardian. I hereby Agree that I will be solely responsible for and will pay promptly any expenses which may be incurred by Old School ASC in making emergency medical treatment to named child.