*Please initial beside each statement.

Transcription

1 TUITION CONTRACT THIS IS A BINDING CONTRACT, PLEASE READ CAREFULLY [PLEASE PRINT] 1. Name of each Student: Student Grade Discount Annual Tuition *Please initial beside each statement. 1 0% $ 5% $ 10% $ 15% $ 2. In consideration of the acceptance of the above student(s) by Book of Life Academy, the undersigned agrees to pay, in accordance with the following terms and conditions, total tuition and fees for the above-named student(s) in the amount of $. The undersigned understands and agrees that this contract is for annual tuition only and does not include applicable fees due at the beginning and/or middle of the year. 3. Tuition will be paid as follows? a.) Payment in Full. Full balance will be paid by check or cashier s check on or before Wednesday September 2, 2015 for a 10% discount from annual tuition. b.) Installment Payments: Payments of $ per month for (10) months commencing on and on the day of each succeeding month. c.) Installment Payments: Payments of $ per month commencing on and on the day of each succeeding month (Only for year around patrons). NOTE: Book of Life Academy cannot accept this Enrollment and Tuition Contract unless one of the above payment methods is selected and all necessary forms and authorizations are completed and returned to Book of Life Academy. 4. Early Withdrawal: I understand that Book of Life Academy is relying on the tuition amount stated above for the purposes of planning the school year including, but not limited to, its programs, activities, curriculum, and staffing requirements. Therefore, I understand that I will be responsible for any unpaid tuition remaining on the contract and will not receive a tuition refund for prepaid tuition if the student(s) listed above are withdrawn from Book of Life during the school year.

2 The only exception to this policy is if I am released from this contract. In order to be release from this contract, a written request must be made to the school office stating the reason for the request. Book of Life reserves the right, in its sole discretion, to grant or deny release from this contract. If released from the contract, the undersigned may be required to pay an early withdrawal fee of $ for each student withdrawn. Upon release from the contract, any overpayment of tuition will be refunded on a pro-rata basis after deduction of any unpaid fees or balances. In other words, if you paid your annual tuition in full, and then decide to withdraw your child in the middle of the year, refund will be based on the deduction of the amount of months the child attended along with the deduction of any unpaid fees or balances. All registration fees are non- refundable and non-transferable. 5. Late Payments/ Delinquency: I agree to the following terms with regards to any lateness or delinquency. a.) My account will accrue a late fee of $30.00 after 5 business days of my scheduled payment due date. A note of delinquency will be sent to you after that period of time. b.) Student(s) will be dismissed after 30 days of non-payment and will not be allowed to return to school until all past due accounts are paid off; all records will be withheld, including tax receipts, report cards, and transcripts. c.) In case of delinquency, Book of Life reserves the right to alter or adjust original payment contract without your prior consent, to assure the payment of all funds before the school year ends. d.) Student(s) will not be allowed to participate in any extracurricular activities or before and aftercare services, with a past due balance. e.) If collections become necessary, the undersigned is financially responsible for all secondary fees i.e court costs, attorney fees, etc. 6. Methods of Payment: Book of Life academy currently accepts the following methods of payment: a.) Cashier s Check or Personal Check b.) Cash c.) Money Order d.) Paypal Note: Book of Life Academy will charge a $30.00 fee for any returned checks. If any personal check is returned with insufficient funds, you will be required to make all future payments with either a cashier s check, money order or cash, NO EXCEPTIONS. No personal checks will be accepted. 7. Payment procedures. When submitting payments, the parent will be responsible for requesting a receipt upon submitting their payment. Please do not submit payments during drop off or dismissal hours, as our staff is busy assisting students. The best time to come to the office to submit your payment is between the hours of 10AM 2PM. Book of Life Academy WILL NOT apply any credits or reimbursements for money that is unaccounted for. 2

3 8. Government Assistance or Flexible Spending Account (FSA): Please be advised that if you receive government assistance, it will be your responsibility to provide the school with the necessary paper work, and to pay the tuition difference as calculated from the amount of assistance you receive. If you have a FSA with your employer, please advise the school in advance so we can make the necessary arrangements to accommodate your needs. 9. As additional consideration for the acceptance of this contract, and as a material inducement to Book of Life to accept the same, the undersigned irrevocably covenants and agree as follows: a.) That we, on behalf of ourselves and the above name student(s), promise to download a student handbook from the Book of Life Academy website b.) That we, on behalf of ourselves and the above name student(s), consent and agree to all rules, regulations and policies of Book of Life, including but not limited to all rules and policies contained in the Book of Life Academy student handbook, now in effect or which may be at any time in the future promulgated by Book of Life during the term of this contract, and will fully abide by same. c.) That in order to maintain any discount; bill must remain current throughout the school year or discount will be forfeited. d.) That in order to maintain any discounts; a parent or guardian is required to complete 7-10 hours of volunteering at Book of life per quarter. e.) Annual tuition and fees are based on 170 school days for students grades K-5 th grade. f.) My Book of Life academy account must be current in order to be eligible for re-enrollment. g.) Students enrolled year round (K2-K4) will be required to give 2 weeks notice if withdrawing. Parent or Guardian Signature Parent or Guardian Signature Date Subject to all of the conditions, covenants and agreements stated above, Book of Life Academy, hereby accepts the above contract, and accepts the student(s) named therein for enrollment for the academic school year. Book of Life Academy Administrator Parent or Guardian Signature Date 3

4 STUDENT INFORMATION Name of Student: Address: (Last) (First) (Middle) (Street) (City/State) (Zip Code) D.O.B Age: Female Male Grade: (Mo/Day/Year) Religious affiliation: Family Church: Previous School/Day Care Attended: (School Name) (Phone Number) Has your child ever been expelled or suspended from School/Day care? Yes No If yes, for what reason? Please explain: PARENT INFORMATION Mother/Guardian Name: Address: Home Phone: Business Name: (Last) (First) (Middle) (Street) (City/State) (Zip Code) Cell Phone: Business Phone: Living with child? Yes No Father/Guardian Name: Address: Home Phone: Business Name: (Last) (First) (Middle) (Street) (City/State) (Zip Code) Cell Phone: Business Phone: Living with Child? Yes No For separated Couples only: Please specify who has custody of the child or children in question: Please submit copies of court orders or custody hearings to our office. Thank you 4

5 Mark each box of those persons who are financially responsible? Both Parents Father Mother Guardian Other If other, please provide contact information for the person below: Name(s): Address: Daytime Phone: School Age Siblings not attending Book of Life Academy Name: Grade: School Attending: Name: Grade: School Attending: Name: Grade: School Attending: Parent/Guardian/Nanny/Grandparent volunteer information: A family member must sign up for volunteer opportunities during the school year. Parents are asked to donate 3 hours/quarter as a volunteer. Parents of students receiving financial aid are required to volunteer 7-10 hours/quarter. 1. Name Relationship to student Check here if BOLA Alumni Mailing Address City State Zip Home Phone Cell Phone Address 2. Name Relationship to student Check here if BOLA Alumni Mailing Address City State Zip Home Phone Cell Phone Address 5

6 ALUMNI INFORMATION List all family members who attended Book of Life Academy: Name Relationship Phone number Name Relationship Phone number Name Relationship Phone number 6

7 TUITION K2 K4 Fee Description Due Date Amount Book Fee K2 Upon Receipt of application $50.00 Book Fee K3 Upon Receipt of application $75.00 Book Fee K4 Upon receipt of application $ Student Grade Monthly Tuition K2 $ K3 $ K4 $ EXTENDED CARE SERVICES (ECS) Extended Care Monthly Fee Hours Includes Morning Care $ AM to 8:10AM Breakfast After Care $ :20 to 6PM* Snack Combined Morning and afternoon care Hourly Fee (Emergency Only) $ AM to 6PM Breakfast & snack $20.00 per day minimum As determined by administration *Penalty fees are applied if a child is picked up after 6:00PM. $25.00 will be charged at 6:00PM and $1.00 per minute after that. **Hourly use is for emergency basis only, if parents are found abusing this service, they will be automatically enrolled for extended care and charged the monthly fee without prior notice. Please be advised that hourly fees and penalty fees must be paid at the time of pick up or drop off. 7

8 TUITION FOR K5 5 GRADE STUDENTS Student Grade Yearly Tuition Payment Option #1 Yearly Tuition Paid in full on or before Wed. Sept. 2, 2015 (10% Discount). Payment Option #2 Tuition broken into 10 monthly payments (September June) K5 5 th Grade $4, $ $ Basic Fee Schedule Fee Description Due Date Applies to Amount *Application Fee Maintenance Fee Book Fee Upon Receipt of application ½ due upon receipt of application; ½ due 1 st day of 3 rd Quarter Upon Receipt of application Applicable to new students only. $ All Students $ All Students $ $ ALL STUDENTS **Note: Tuition fees are based on a full day schedule from 8.10AM to 3.15PM; no refunds are given for tardiness, illness or delinquency. Please see the tardiness/absentee clause in the student handbook for further details. ALL APPLICATION AND REGISTRATION FEES: Due upon submission of application and are non-refundable and non-transferrable, yet are subject to multi-child discounts. Application fee is not applicable to returning students. MAINTENANCE FEE: This fee is to help defray the costs of miscellaneous items, school sponsored parties, toy upgrades, field trip fuel costs, consumable items such as paper, paint, and other supplies. All fees are nonrefundable, non-transferrable, and are not subject to multi-child discounts. 8

9 BOOK FEE: This fee is based on the price of curriculum materials, and is NOT subject to multi-child discounts. Kindergarten $ st 5 th Grade $ MID-YEAR ENROLLMENT: Tuition will be prorated based upon the portion of the school year remaining at the time of enrollment. All fees are due and payable upon registration. Tuition may be paid over the remaining months of the school year. MULTIPLE STUDENT DISCOUNTS: Tuition for families with more than one child will be figured based on a combined total and deductions taken at the end. ADDITIONAL SERVICES EXTENDED CARE SERVICES: The following services are also available at an additional cost, and eligible for multichild discounts. Extended Care Monthly Fee Hours Includes: Before Care $ AM 8.10AM Breakfast After Care $ :15PM 6:00PM* Snack Before and Aftercare $ AM 6PM Breakfast and snack Hourly (emergency only) $20.00 per day minimum As determined by administration *Penalty fees are applied if a child is picked up after 6:00PM. $25.00 will be charged at 6:00PM and $1.00 per minute after that. **Hourly use is for emergency basis only, if parents are found abusing this service, they will be automatically enrolled for extended care and charged the monthly fee without prior notice. Please be advised that hourly fees and penalty fees must be paid at the time of pick up or drop off. 9

10 TRANSPORATION SERVICE School sponsored 15 passenger vans provide transportation services to and from school. This service is only available to students living in the Annapolis Area. Limited amount of seats are available and you must provide your own booster seat. Pick up locations will be specified in the transportation application. Please request a transportation application from the school office. Van Prices 1 Way = $20.00 per week (5 days) or $80.00 per month (20 days) 2 Way = $35.00 per week (5 days) or $ per month (20 days) WARM LUNCH OPTION: Lunch services at Book of Life Academy costs $3.00- $4.50 each day available. Detailed lunch forms are sent home on a monthly basis. These must be received no later than Tuesday s of every week or at the top of each month. Lunch options are determined by August and will be sent in the orientation packet. EMERGENCY MEDICAL INFORMATION Health Conditions check all that apply: Asthma Bee Sting Allergy Diabetes Epilepsy Heart Condition ADD/HD If other, please specify: Allergies (specific): Other Medications During School Hours (Medical Authorization Form Required) List any medications student is required to have with them during school hours. (Students must keep all medications in the school office.) 10

11 MEDICAL INSURANCE INFORMATION Primary Insured s Name: Medical Insurance Center: Group #: ID/Policy #: Physicians Name: Physician s Address: Dentist s name: Dentist s address Preferred Hospital: I understand that Book of Life Academy will make their best effort to contact me in the event of a medical or other emergency concerning my child. However, if I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services, as determined by emergency or school personnel, in the event my child is injured or becomes ill. I hereby give my permission for the above stated student to receive emergency medical treatment, to be hospitalized, and to receive such injections, anesthesia, or operation as may be urgently necessary. I will not hold Book of Life Academy liable for any accident, sickness, or emergency treatment given while my child is in their care, custody, or control of Book of Life Academy that is made in good faith. Parent/Guardian Printed Name: Parent/Guardian Signature: Date: Date: 11

12 Liability, Arbitration, and Conflict Resolution By enrolling their children at Book of Life Academy, parents are acknowledging that the school and its agents shall be considered harmless for any liability to any child or any guardian or parent thereof because of any claims on behalf of the child against the school or any agent thereof because of injury or alleged injury to the child. Any controversy or claim arising out of or related to this agreement, or the breach thereof, which cannot be resolved privately to the satisfaction the parties shall be settled by mediation or arbitration in accordance to scripture. The parties to this agreement are assumed Christians and believe that the Bible commands them to make every effort to live at peace and resolve disputes with each other private or within the Christian community in conformity with the Biblical injunctions of 1 Corinthians 6:1-8, Matthew 5:23-24, and Matthew 18: Therefore, the parties agree that any claim of dispute arising out of, or related to, this agreement or to any aspect of the school-child-parent relationship, including statutory claims, shall be settled by Biblically based mediation. If resolution of the dispute and reconciliation do not result from such efforts, the matter shall then be submitted to a panel of the three arbitrators for binding arbitration. Each party to the agreement shall have the right to select one arbitrator. The two arbitrators selected by the parties shall jointly select the neutral, third arbitrator. If there is an impasse in the selection of the third arbitrator, the Institute for Christian Conciliation, Billings, MT (406) shall be asked to provide the name of a qualified person that will serve that capacity. The arbitration shall be conducted in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation as printed in the Christian Conciliation Handbook. The parties agree that these methods shall be the sole remedy for any controversy or claim arising out of the employment relationship or this agreement and expressly waive their right to file a lawsuit against one another in any civil court for such disputes, except to enforce legally biding arbitration decision. Each party regardless of the outcome of the matter agrees to bear cost of his/her/its own arbitrator and on half of the fees and cost of the neutral arbitrator and any other arbitration expenses. Signature Date Print Name 12

13 Statement of Cooperation By signing this agreement I give permission for my child to participate in all Book of Life Academy school activities. By signing this statement of cooperation the parent agrees to hold the School and its officers, employees, volunteers and agents harmless for any liability to their child or any guardian or parent thereof because of any claim on behalf of their child against the school or any agent thereof because of any injury or alleged injury to their child. Should legal actions, for any reason, be taken against Book of Life Academy or any officer, employee, volunteer and agents not be found at fault, the parent agrees to pay any attorney fees, court fees, damages, and/or any other cost that the School or its officers, employees, volunteers, and agents should incur to defend itself against such action. I have read and fully understand all aspects of the school Handbook by BOOK OF LIFE ACADEMY. I understand that if I have a complaint I will consult my Handbook before seeking resolution with the administration, teachers, or staff at Book of Life Academy. In signing, I agree to all terms and conditions stated in this Handbook. Parent Signature Date Print Full Name Name of Student and grade 13