Forms Input Entry | PK Registration 2019-20

Mt. St. Mary Academy
Pre-Kindergarten
Registration 2019-20

PRE-KINDERGARTEN FEES:

Registration Fees:

$300 per student if paid by June 5, 2020

$350 per student if paid by July 15, 2020

$400 per student if paid by August 15, 2020

Registration fees are non-refundable.

Registration Enrollment Information

Family Name *

Student's Name *


First Name *	Middle Name	Last Name *

Primary Home Address *


Address1	City	State	Zip

Parent/Guardian 1 Name *


First Name *	Last Name *

Email Address *

Address


Address1	City	State	Zip

Home Phone

Cell Phone *

Employer *

Parent/Guardian 2 Name


First Name	Last Name

Address (if different)


Address1	City	State	Zip

Home Phone

Cell Phone

Employer

Tuition Contract Agreement Terms

Please read the following Tuition Contract Agreement Terms. Initial each area and sign below as an indication of your acceptance and obligation to the school community of Mt. St. Mary Academy.

1 *

I/We hereby enroll our student(s) at Mt. St. Mary Academy for the academic year of 2020-2021.

2 *

I/We agree to participate in a faith community, as Disciples of Christ, who give of their stewardship, participate in worship, give of their time, talent, and treasure.

3 *

I/We will abide by School and Diocesan regulations and policies set forth in the Parent/Student Guidelines.

4 *

I/We acknowledge and agree to pay the Tuition Rates according to the Tuition Rates set forth for the 2020-2021 School Year and acknowledge that the payment plan will be utilized through FACTS Payment Processing.

5 *

I/We agree to pay Registration, Classroom Supply, Parent Club, Gala Auction Fees (All fees are non-refundable).

The Tuition Contract Agreement is a binding contract creating a legal and financial obligation to pay your tuition in a timely fashion. If your tuition payments are not made as you have agreed to do, Late fees will be assessed, there is a risk that report cards, transcripts, and participation in graduation activities may be withheld. Tuition must be paid in full by the end of the school year to qualify for enrollment the following year. If a student withdraws during the school year, the school will not provide a transcript until the account is paid in full, which may include future charges to be billed or any other charges that have not been generated to date. In most circumstances, both of the student’s parents, will be the responsible parties and signatories of this contact. If there is one signatory, that signatory is assuming sole and complete financial responsibility for the student. Delinquent tuition payments, or unwillingness to follow a payment plan, may result in the removal of your student(s) from Mt. St. Mary Academy.

My/Our signature indicates that I/we have read and understand these terms. Enrollment is not complete until this Tuition Contract Agreement is completed and signed by you and approved by Mt. St. Mary Academy. All Tuition Contract Agreements are Confidential. The selection of Tuition Contracts Standard or Active Parishioner Tuition is based upon final approval of the Mt. St. Mary Academy Principal.

Parent/Guardian Signature *


Name *	Date (MM/DD/YYYY) *

Contract Agreement

Tuition Contract Agreement at the time of Registration

Please review, select and sign below the Volunteer Agreement Options.

Fundraising/PIP Hours

I/We agree to participate in the school, which includes completing 20 hours of Fundraising and 20 hours of Volunteer time by the end of the 2020-2021 school year.

As a single parent, I agree to the 10 Hours of Fundraising and 10 Hours of Volunteer time required.

I/We are unable to participate in the PIP Program. Please add $600.00 to buy out my hours or $300 for a single parent.

Room Parent Fee: *

I/We agree to pay a $35 Room Parent Fee for Gala, Hoe Down Projects, and Teacher Appreciation Gift.

Class Room Supply Fee: *

I/We agree to pay a $50 classroom fee to purchase supplies used throughout the school year.

Gala/Annual Auction: *

I/We agree to contribute/procure a $50.00 product or service for the Gala.

Parent/Guardian Signature *


Name *	Date (MM/DD/YYYY) *

400 South Church Street, Grass Valley, CA 95945