K-8 Re-Enrollment Agreement 2022-2023

K-8 Enrollment Agreement 2022-2023

THIS FORM IS TO BE FILLED OUT FOR STUDENTS CURRENTLY ENROLLED AT BETHANY SCHOOL FOR THE 2021-2022 SCHOOL YEAR. PLEASE SEE THE OPEN ENROLLMENT FOR NEW STUDENTS BEGINNING JANUARY 31, 2022.
Type of Registration *

Re-Enrollment
Previous Teacher
Please note: It is possible to stop and resume this form by clicking "save" at the bottom and providing your email address when prompted.
Student Name *

First Name Last Name
Gender *

Boy Girl
Birthdate *

Month Day Year
Date
Grade Entering Fall 2022 *
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Primary Phone Number *
Please enter a valid phone number.
Father's / Legal Guardian's Information
Father's / Legal Guardian's Name

First Name Last Name
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Email
example@example.com
Mother's / Legal Guardian's Information
Mother's / Legal Guardian's Name

First Name Last Name
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Email
example@example.com
Terms of Agreement
TUITION & PAYMENTS

The first invoice is sent on August 1. Tuition is billed a month in ADVANCE from August-May. Accounts not paid within 7 days will be given a late fee of $45. Late fees accrue each month if the invoice has not been fully paid. No student will be permitted to attend class if their account is not paid in full. Delinquent accounts will be reviewed each month.
Tuition and Payments *

I agree
ENROLLMENT FEES

The Registration Fee of $450, Activity Fee of $100 and Technology Fee of $100 is due upon enrollment. Registration fee is non refundable.
Enrollment Fees *

I agree
I ALSO UNDERSTAND THAT

-The Administration of Bethany School has full authority for class placement.
-I will need to update my information on My School Worx, fill out the appropriate forms and turn them in no later than August 1 for the school year.
-According to CA School Immunization Law, all students must provide a record of up to date immunizations.
-I Authorize Bethany School to give consent to any necessary medical treatment for my child, in case of an emergency when I cannot be reached.
-I am signing this enrollment form, with the knowledge that any photos/images/videos posted on the school website and social media platforms may be downloaded and reprinted by various news organizations, including print, electronic and broadcast media, and I, therefore, release Bethany School from liability arising from use of my child’s photos/images/videos on the school website and social media postings as well as printed materials. To opt out of having your child in any photos, please see the front office.

Bethany School reserves the right to refuse any application or to dismiss any student/family at any time for any reason it deems necessary. Neither this application nor payment of fees is considered binding upon Bethany School. By signing this document, I agree to be responsible for the above financial obligations and school policies.
Signature *

Clear
Payment

If you have not already paid in the office, an invoice will be sent to you and must be paid immediately to receive this week's discounted price. (See pricing below.)
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K-8 Enrollment Agreement 2022-2023

Father's / Legal Guardian's Information

Mother's / Legal Guardian's Information

Terms of Agreement

Payment