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-5thare 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 familiesmay 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

XParent Signature: ______Date______

______

FOR OFFICE USE ONLY:

Payment Made forEnrollment: $ ______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 familiesmay 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

XParent Signature: ______

______

FOR OFFICE USE ONLY:

Payment Made forenrollment: $ ______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