2020-2021 Liahona Distance Education Registration

Liahona Preparatory Academy

2022-2023 School Year
Liahona Preparatory Academy 2022-2023 School Year Registration

This form is for registering students attending class on campus.

As you complete the registration form, please be aware of the following:

1. A $100 non-refundable registration fee per student will be collected upon form completion. If using a credit card, a 3% processing fee will be charged. Also, the form of payment used to pay the registration fee will become the default form of payment for tuition. You may contact our accountant, Jeannie Bell, to change your payment type.

2. To pay the registration fee, you will be instructed to follow a link to our website. Once the fee is paid, you must RETURN TO THIS FORM and click submit to complete registration.

3. Monthly tuition payments begin July 10th and are charged on the 10th of each consecutive month, with the last payment incurring on June 10th, 2023

4. For students new to Liahona, immunization forms or exemption status forms are required and must be submitted BEFORE your student's registration will be accepted.

5. Students entering 7th grade are required to obtain additional immunizations or provide an updated exemption status form. We must receive written proof before your student's registration will be approved.

6. A copy of Liahona's Policies and Procedures is included with this form. It is imperative you thoroughly read this, as you are required to sign your understanding and willingness to abide by them.

7. Once a student's registration is complete, you will receive an approval email notifying you of your student's acceptance as an Academy student. If you do not receive an email, please contact the front office.

We highly recommend saving each page as your complete the registration form. The option for saving data is offered at the bottom of each page.

If you have problems or questions, please contact the front desk @ 801 785 7850.
Parent/Guardian Information

*Required*
Primary Guardian Information*

First NameLast Name
Our primary form of contact for school announcements, upcoming events, etc is via email. Please provide the email address for which you are most likely to check messages.
Parent/Guardian Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to student*
Marital Status*
Custody*
Are there any custodial extenuating circumstances we should be aware of?*
Secondary Guardian Information

Optional
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please list home address if different than Primary Guardians.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone Number
Please enter a valid phone number.
Marital Status
Relationship to Student
Custody: List full, partial, etc.
Is there any further information we should be aware of?
Emergency Contact Information

Please list persons who should be contracted in case of an emergency
Emergency Contact #1*

First NameLast Name
#1 Phone Number*
Please enter a valid phone number.
#1 Relationship to student*
Emergency Contact #2

First NameLast Name
#2 Phone Number
Please enter a valid phone number.
#2 Relationship to student
Please list persons who can check your student out of class:

First Name   Last Name   Area Code   Phone Number     Relationship

First Name   Last Name   Area Code   Phone Number   Relationship

First Name   Last Name   Area Code   Phone Number      Relationship

First Name   Last Name   Area Code   Phone Number   Relationship

First Name   Last Name   Area Code   Phone Number   Relationship

First Name   Last Name   Area Code   Phone Number   Relationship

First Name   Last Name   Area Code   Phone Number   Relationship

First Name   Last Name   Area Code   Phone Number  Relationship

Policies and Procedures

*Please read Liahona's Policies and Procedures. Then sign where indicated*
Please print a copy of Liahona's Policies and Procedures for your records
I confirm I have read and understand Liahona's Policies and Procedures and agree to have my student stand by them in their entirety.*

Registration Fee and Tuition Payments

Important Information
Academy Tuition

·         Pre-K, 2x/week $275 x 12 months; $3,300 annual

·         Pre-K, 4x/week $330 x 12 months; $3,960 annual

·         Kindergarten $380 x 12 months; $4,560 annual

·         Grades 1-4 Non-Accredited $405 x 12 months; $4,860 annual

·         Grades 5-12 Non-Accredited $430 x 12 months; $5,160 annual

·         Grades 9-12 Accredited $505 x 12 months; $6,060 annual

·         Full-time Academy -All 4 Accredited classes w/2 accredited electives

per semester; annually $7,180
I understand a $30 fee will be charged to my account for insufficient tuition funds *
intials
I acknowledge as stated in the P&P, that there is a one month withdrawal fee if I choose to withdraw before May 20, 2023 (please initial)*
Initials
Liahona Preparatory Academy 2022-2023 School Year Registration

This form is for registering students attending class on campus.

As you complete the registration form, please be aware of the following:

1. A $100 non-refundable registration fee per student will be collected upon form completion. If using a credit card, a 3% processing fee will be charged. Also, the form of payment used to pay the registration fee will become the default form of payment for tuition. You may contact our accountant, Jeannie Bell, to change your payment type.

2. To pay the registration fee, you will be instructed to follow a link to our website. Once the fee is paid, you must RETURN TO THIS FORM and click submit to complete registration.

3. Monthly tuition payments begin July 10th and are charged on the 10th of each consecutive month, with the last payment incurring on June 10th, 2023

4. For students new to Liahona, immunization forms or exemption status forms are required and must be submitted BEFORE your student's registration will be accepted.

5. Students entering 7th grade are required to obtain additional immunizations or provide an updated exemption status form. We must receive written proof before your student's registration will be approved.

6. A copy of Liahona's Policies and Procedures is included with this form. It is imperative you thoroughly read this, as you are required to sign your understanding and willingness to abide by them.

7. Once a student's registration is complete, you will receive an approval email notifying you of your student's acceptance as an Academy student. If you do not receive an email, please contact the front office.

We highly recommend saving each page as your complete the registration form. The option for saving data is offered at the bottom of each page.

If you have problems or questions, please contact the front desk @ 801 785 7850.
Signature*

Clear

Registration Fee Payment Link

Please click on this link to pay the registration fee(s):

https://www.liahonaeducation.com/?p=1988

**Remember to return to this form and click submit to complete registration**
Did you remember to pay the registration fee?*

YesNo
Should be Empty:

Liahona Preparatory Academy

Parent/Guardian Information

Secondary Guardian Information

Emergency Contact Information

Student Information (Student 1)

Student Information (Student 2)

Student Information (Student 3)

Student Information (Student 4)

Student Information (Student 5)

Student Information (Student 6)

Policies and Procedures

Registration Fee and Tuition Payments