Kent Academy – Enrollment Worksheet – 2018-2019
ALL FAMILIES: Please send in this worksheet by February 15th ____________________________(student) will be enrolling for the 2018-2019 school year ____________________________(student) will not enrolling for the 2018-2019 school year.
If you plan to re-enroll, the Statement of Financial Commitment & the Enrollment Fee are due by February 15th.
Parent(s) Name _______________________________________________________ Date: _________
Address: Street __________________________________City _________________ State _____ Zip _____________ Home Phone _______________________ Cell Phone ________________________ email: _____________________ Person Responsible for Tuition/Fees: ___________________________email if different than above:___________________
Students 4th-5th are required to have an IPad or Mac Laptop(with Microsoft Word). Middle School students are required to have a Mac Laptop(with Microsoft Word).
ENROLLMENT: Enrollment Fee $1,000 (non-refundable) x ___ $
_________
TUITION RATE:: Tuition: K-5 $13,000 x ___ (Early payment discount to families paying tuition in full by June 1st, 2018
=$625) $ __________ Tuition: 6-8 $14,000 x ___ (Early payment discount to families paying tuition in full by June 1st, 2018
=$675) $ __________
Sibling (brother or sister) discount: -- $ __________
$350 annual discount for second student enrolled $700 annual discount for third student enrolled
Total Tuition Due: $________________
Enrollment Fee + $________________
TOTAL 2018-2019 $ _______________
Choose one of the following options for paying tuition: OPTION 1 Full tuition payment of ___________________due by June 1, 2018 with applies discount OPTION 2 Two semester payments of ____________ due August 1, 2018 and __________ due January 1, 2019 OPTION 3 12 Monthly payments of _________ June 1, 2018 through May 1, 2019 OTHER:____________________________________________________________________________________________
Kent Academy families may pay Options 1 and 2 by check, cash or automatic draft. Automatic draft is required for all other payment options.
Please contact the director for any questions about payment options. FOR ENROLLMENT : Select your method of Payment for Total Due for Enrollment( listed above):
I have enclosed a Check for the amount due Please auto-draft my account for the amount due
X Parent Signature: __________________________________ Date____________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
FOR OFFICE USE ONLY:Payment Made for Enrollment: $ ______________ Paid by (Check #) ___________ (Auto-draft)_____________
(Attach copy of check or auto-draft confirmation)Notes: _______________________________________________________________________________________
Tuition Balance Due 2018-2019 : $_______________ Date__________________
COPIES: Parent, Student File, Accounting
THIS IS AN ORGANIZATIONAL TOOL FOR ENROLLMENT Jan 2018
Kent Academy High School Co-Op – Enrollment Worksheet – 2018-2019
ALL FAMILIES: Please send in this worksheet by February 15th ____________________________(student) will be enrolling for the 2018-2019 school year ____________________________(student) will not enrolling for the 2018-2019 school year.
If you plan to re-enroll, the Statement of Financial Commitment & the Enrollment Fee are due by February 15th.
Parent(s) Name _______________________________________________________ Date: _________
Address: Street __________________________________City _________________ State _____ Zip _____________ Home Phone _______________________ Cell Phone ________________________ email: _____________________ Person Responsible for Tuition/Fees: ___________________________email if different than
above:___________________ Students are required to have a Mac Laptop with Microsoft Word.
ENROLLMENT: Enrollment Fee $1,000 (non-refundable) x ___ $
_________
MEMBERSHIP FEE:: (Does not include Field Trips)$13,000 x ___ (Early payment discount to families paying tuition in full by June 1st, 2018 =$650)
$ __________Sibling (brother or sister) discount: -- $ __________
$350 annual discount for second student enrolled $700 annual discount for third student enrolled
Total Membership Fee: $________________
Enrollment Fee + $________________
TOTAL 2018-2019 $ _______________
Choose one of the following options for paying Membership Fees: OPTION 1 Full payment of ___________________due by June 1, 2018 with $625 discount OPTION 2 Two semester payments of ____________ due August 1, 2018and __________ due January 1, 2019 OPTION 3 12 Monthly payments of _________ June 1, 2018 through May 1, 2019 OTHER: _________________________________________________________________________________ .
Kent Co-Op families may pay Options 1 and 2 by check, cash or automatic draft. Automatic draft is required for
option 3. Please contact the Director for any questions about payment options.
FOR ENROLLMENT : Select your method of Payment for Total Due for Enrollment( listed above):
I have enclosed a Check for the total due Please auto-draft my account for the total due
X Parent Signature: __________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
FOR OFFICE USE ONLY:Payment Made for enrollment: $ ______________ Paid by (Check #) ___________ (Autodraft)_____________
(Attach copy of check or autodraft confirmation)Notes: ______________________________________________________________________________________Balance Due 2017-2018 : $_______________ COPIES: Parent, Student File, Accounting
THIS WORKSHEET IS AN ORGANIZATIONAL TOOL FOR ENROLLMENT Jan 2018
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