Kent Academy - Statement of Financial Commitment – 2017-2018

Parent(s) Name ____________________________________________________________________________________N Child/Student: __________________________ Grade:_____ Child/Student: _________________________ Grade:_____ Child/Student: __________________________ Grade:_____ Child/Student: _________________________ Grade:_____

Person(s) Responsible for Tuition Payments: _____________________________________________________________Address _____________________________________City ______________________ State _____ Zip ______________ Home Phone _______________________ Cell Phone ________________________ Email: _______________________ Signature of Responsible Party __________________________________________ __________________ Signature Date PLEASE NOTE: No financial information will be released to any party, other than Kent Academy and the names above,

unless listed below:_______________________________________________ ______________________________________________Name Relationship Name Relationship

Financial and Payment Policies1. For re-enrolling families, their account must be completely paid current at the time of

enrollment and they must re-enroll by February 23, 2017. After this time, any classroom vacancies are open to the public and new enrollment fee is applied. 2. The Enrollment Fee of $1000 is due at the time of initial or re-enrollment. All students are

required to pay 100% of the Enrolment Fee, regardless of time of enrollment or withdrawal. No discounts or refunds will be issued for this fee.

3. Choose one of the following options for paying tuition. OPTION 1 Full tuition payment of ___________________due by June 1, 2017 with 5% discount OPTION 2 Two semester payments of ____________ due August 1, 2017 and __________ due

January 1, 2018 OPTION 3 12 Monthly payments of ____________ June 1, 2017 through May 1, 2018 OPTION 4 Entrance/Payment Start Date after June 1, 2017 – Full Tuition payment of

_______________ OPTION 5 Entrance/Payment Start Date after June 1, 2017 but before March 1, 2018:

Monthly payments of ___________ based on a __ month scale due _________, 2017 through May 1, 2018

OPTION 6 Entrance/Payment Start Date March 1, 2018 onward – Full Tuition must be paid for remainder of year

4 June 1, 2017 is the cut-off date for a family to withdraw without being responsible for tuition and fees for the 2017-2018 school year . Payment obligation or reimbursement (if tuition has been paid in full) refund policy is as such:

* Application, and Enrollment fees are non-refundable * Families withdrawing June 2017 – August 2017 are responsible for 33% of tuition. * Families withdrawing September, 2017) – December 2017 are responsible for 66% of

tuition.

* Families withdrawing January 2018 – end of the school year are responsible for 100% of these charges.

Same policy applies if student is expelled or terminated for any reason.5. Kent Academy families may pay tuition and fees in full by check, cash or automatic draft.

Automatic draft is required for all other payment options.6. Accounts not paid by the 5th of the month will be charged $15 a day for missed payment for

up to 30 days (unless arrangement for payment is made). There is a $35 return check fee for any insufficient funds. There will be a charge for any attorney’s fees necessary to collect any balance due.

7. If any account becomes more than 30 days past due, the student will be subject to removal from class until the account is made current or arrangement for payment has been made with Kent Academy. Records and report cards will be held by Kent Academy for past due accounts until the past due balance is paid in full or acceptable arrangements are made with the director of the Academy.8. Tuition payments are calculated on a monthly basis and are not pro-rated. If a student

withdraws during the school year, tuition is charged as stated above in section 4 of Financial and Payment Policies and payment is due in compliance with the Kent Academy refund policy. If a student enrolls after the school year has started, at any point in a given month, tuition is due for that entire month.

9 If there is any indebtedness to Kent Academy, certificates of completion will not be awarded, report cards will be withheld, re- enrollment denied and transcripts will not be released. Indebtedness includes any past due tuition, dues or fees, damage charges or unreturned equipment. Kent Academy will consider all accounts that are 90 days over due to be delinquent and will turn these accounts over to a collections agency if an effort has not been made by the student's family to resolve such an account. 10. A 30 day notice is required for students to withdraw from Kent Academy.

________________________________________________________________________________________________

I herby register my student(s) to attend Kent Academy and complete the entire school year. In making this registration, I agree to comply with the financial policies of Kent Academy as detailed above. I understand this is a binding agreement with Kent Academy and know Kent Academy’s financial commitments and teacher salaries are

dependent on my follow through of this agreement.

X _____________________________________________________________________ Signature of Parent or responsible party

I understand that my student will be taught accordingly to the philosophy of Kent Academy. I understand the Academy nurtures faith, family, community and Grace. It is my desire to support this philosophy in the education and parenting of my child(ren).

X _____________________________________________________________________ Signature of Parent or responsible party

Kent Academy does not discriminate in enrollment or in the provisions of its programs or services on the basis of gender, race, national or ethnic origins, nor does the school discriminate in employment on the basis of gender, race, national or ethnic origins, age, or disability. Revised 2017

Kent Academy - Enrollment Worksheet – 2017-2018

Parent(s) Name _______________________________________________________ Date: __________ Student: ____________________________________ Grade:________ Start Date: ______ Student: ____________________________________ Grade:________ Start 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 – Middle School & High School Co-Op Mac Laptop with Microsoft WORD.

FEE RATE:: Tuition: K-5 $12,500 x ___ $

__________ Tuition: 6-8 $13,500 x ___

$ __________ Facilitation Fee High School Co-Op $12,500 x ___ (does not include field trips)

$ __________

Early Payment Discount: -- $ __________

5% discount on (tuition less field trips) applies to families paying tuition in full by June 5, 2017 Total discount per student (K-5 = $550) or (6-8 = $600 )

Sibling discount: -- $ __________

$350 annual discount for second student enrolled $700 annual discount for third student enrolled

Total FEES Due: $________________

Choose one of the following options for paying tuition: OPTION 1 Full tuition payment of ___________________due by June 1, 2017 with 5% discount OPTION 2 Two semester payments of ____________ due August 1, 2017 and __________ due January 1, 2018 OPTION 3 12 Monthly payments of _________ June 1, 2017 through May 1, 2018 OPTION 4 Entrance/Payment Start Date after June 1, 2017 – Full Tuition payment of _______________ OPTION 5 Entrance/Payment Start Date after June 1, 2017: Monthly payments of _____________ based on a ____ month scale due ________, 2016 through May 1, 2017 OPTION 6 Entrance/Payment Start Date after June 1, 2017 – 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.

TUITION / FEES DUE for ENROLLMENT: Enrollment Fee $1,000 (non-refundable) x ___ $

__________ Tuition/HS Facilitation Fee Payment (Specify from Options Above): _________________ $

__________ Sweatshirt $30.00 x ____ $ __________ Polo $20.00 x ___ $ __________ Extra Magnet(s) $5 each (one free per family) x ___ $ __________ Other: ______________________________ $ ___________

TOTAL DUE for ENROLLMENT: $ ___________

FOR RE-ENROLLMENT ONLY: Select you 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 #) ___________ (Auto-draft)____________

(Attach copy of check or auto-draft confirmation)Tuition Balance Due 2017-2018 : $_______________ Date: ________________COPIES: Parent, Student File, Accounting

THIS IS AN ORGANIZATIONAL TOOL FOR ENROLLMENT – THIS IS NOT A CONTRACT