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