NSCA Fine Arts Application 2022-23

FINE ARTS APPLICATION

2022-23
Check one: *

Returning Family New Family
If new, how did you hear about this program?
Father's Name *

Father's First Name Father's Last Name
Mother's Name *

Mother's First Name Mother's Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Primary Contact: *

Father Mother
Contact Email *
example@example.com
Father's Cell Phone *

Area Code Phone Number
Mother's Cell Phone *

Area Code Phone Number
Home Church (If applicable): *
How long attended: *

Parent Agreement
- I/We commit to fulfill my Tuition Agreement including in the event of early withdrawal. I will pay all Tuition and Fees on time.
- I/We commit to help my child practice the given assignments.
- I/We commit to support the vision, purpose and values of New Song Nashville.
- I/We commit to support and uphold the authority of the faculty and staff of New Song Christian Academy.
- I/We commit that we will not leave our child(ren) unattended while on the New Song premises.
- I/We understand that completing this application does not guarantee enrollment at New Song Christian Academy.
Father's Signature *

Clear
Date

Month Day Year
Mother's Signature *

Clear
Date

Month Day Year
Release Form
“In the event my child becomes seriously ill or injured while on the New Song Nashville (NSN) campus or while attending a related event, I agree that the NSN authorities shall first make an effort to contact the responsible parent or guardian. If the student's parent or guardian cannot be reached or if NSN authorities believe my child's condition requires emergency medical attention, NSN authorities will use their own discretion in contacting a properly licensed and practicing physician and will follow his/her instructions. If, in the opinion of a properly licensed practicing physician, my child needs medical or surgical services which require my consent before being supplied and I cannot be reached, I hereby authorize, appoint and empower the NSN authorities to furnish on my behalf such written or oral authorization as may be required. Further, I release the NSN and Foursquare Church employees, trustees and New Song Nashville and New Song Christian Academy (NSCA) from any liability which may arise from the giving of such authorization, it being my desire that my child be furnished with such medical or surgical services as soon as reasonably possible after the need arises. I understand that NSN is not an allergy-free environment. I understand that Epi Pens will be administered by NSCA staff or parent volunteers because no registered nurse is on campus. I grant permission for my child to be on campus and attend all off-site events, and I grant permission for my child to be allowed to ride in a vehicle of another parent or staff member without liability to the driver, to NSN or Foursquare and its staff. Also, the image or voice of my child may be published in yearbooks, school web-sites or printed materials without liability.”
Father's Signature *

Clear
Date

Month Day Year
Mother's Signature *

Clear
Date

Month Day Year

Tuition Agreement
New Song Christian Academy has a number of ongoing expenses such as faculty and administrative salaries and supplies. In order to maintain these services throughout the school year, it is essential that NSCA's annual income from tuition and fees be consistent based on people's commitment to the program. Because of this, we have established the following policies:
Fees

1. All students must pay the Registration Fee at the time of registration.
Initial *

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Mid-Year Enrollment

2. Students enrolling in August, September and October:
- Pay the full yearly Tuition amount distributed evenly over the months remaining until the end of the school year
3. Students enrolling in November and December:
- Pay prorated yearly Tuition amount distributed evenly over the months remaining until the end of the school year
4. Students enrolling after Christmas Break:
- Pay prorated yearly Tuition amount distributed evenly over the months remaining until the end of the school year
Initial *

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Tuition Payments

5.     Automatic Bank Draft (ACH Debit) is required for monthly tuition payments. Drafts will be processed on your choice of either the 1st or 15th of each month (August through May).

6.     Any bank fees incurred by NSCA for ACH Debits returned as unpaid will be assessed to your customer account.

7.     If your ACH Debit is returned as unpaid, NSCA will re-debit your account for the tuition plus bank fee within three business days after receiving the return notice.
Initial *

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Student Early Withdrawal

8.     If a student withdraws before the school year begins, school fees already paid (Registration and Tuition) are non-refundable.

9.     If a student withdraws after the school year has begun but on or before October 31, 75% of the remainder of the first semester (August - December) tuition will be due.

10.     If student withdraws on or after October 31, 75% of the remainder of the full year Tuition (August-May) tuition will be due.
Initial *

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Prepaid Tuition Refunds

11.     If a student withdraws before August 1, 75% of pre-paid tuition is refundable.

12.     If a student withdraws between August 2 and beginning of the school year, 50% of pre-paid tuition is refundable.

13.     If a student withdraws after the school year begins, pre-paid tuition is non-refundable.
Initial *

Clear
I have read the above Tuition Agreement and agree to its terms:
Father's Signature *

Clear
Date

Month Day Year
Mother's Signature *

Clear
Date

Month Day Year

FINE ARTS APPLICATION

Student Information and Class Selection

Emergency Information

Parent Agreement

Release Form

Tuition Agreement

I have read the above Tuition Agreement and agree to its terms:

Tuition Payment

These fees are due upon submission of your application:

Bank Draft Information