2020-2021 Liahona Distance Education Registration

Liahona Learning Program: Orange County

2022-2023 School Year
Liahona Learning Program: Orange County

2022-2023 School Year Registration

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

1. A $250 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, please contact Liahona's front office and speak with our accountant, Jeannie Bell: 801 785 7850.

3. Monthly tuition payments begin July 20th, 2022 and are charged the 20th of each consecutive month ending with the last payment occuring June 20th, 2023.

4. 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 us at @ 801 785 7850.
Parent/Guardian Information

*Required*
Primary Guardian Information *

First Name Last 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.
Work Phone Number
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State / 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 Name Last Name
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Please list home address if different than Primary Guardians.

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Marital Status
Relationship to Student
Custody: List full, partial, etc.
Is there any further information we should be aware of?
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If registering multiple students, does the parental/guardian, emergency contact information remain the same for each student?

Yes No
If no, please explain.
Please complete this information for any additional parental/guardians.
Name

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
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
Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Relationship to Student *
CHECK OUT PERMSISSIONS: Please provide information for persons who are able to check your student out of class.

First Name   Last Name   Relationship   Area Code   Phone Number

First Name   Last Name   Relationship    Area Code   Phone Number

First Name   Last Name   Relationship   Area Code   Phone Number

First Name   Last Name   Relationship   Area Code   Phone Number

First Name   Last Name   Relationship   Area Code   Phone Number

First Name   Last Name   Relationship   Area Code   Phone Number

First Name   Last Name   Relationship   Area Code   Phone Number

First Name   Last Name   Relationship   Area Code   Phone Number

First Name   Last Name      Area Code   Phone Number

First Name   Last Name      Area Code   Phone Number

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 abide by them in their entirety. *
Registration Fee and Tuition Payments

Important Information
2022-2023 Tuition

Pre-School and Part-Time Kindergarten: $7,020 annually or $585/month

Full-Time Kindergarten: $8,580 annually or $715/month

Grades 1-8: $8,580.00 annually or $715/month

Tuition payments made be made in full or paid monthly. Monthly payments begin July 20, 2022 and will be withdrawn on the 20th of each consecutive month, ending June 20th, 2023.

Insufficient Funds

You will be charged a $30.00 fee every time funds are not available in your account on file. **No Exceptions**
Registration Fee

A $250 non-refundable registration fee per student must be paid via debit or credit card before registration will be accepted. Credit cards are charged a 3% processing fee.

Monthly Tuition Payments

The credit or debit card used for the registration fee automatically defaults to the form of payment for your student's account and will be charged monthly tuition fees. To change the form of payment, please contact our billing department or email jeannie@liahonaed.com

Tuition payments for Liahona Learning Program students are charged for 12 months, beginning on July 20, 2022 and ending June 20th, 2023.

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I understand by completing the registration form, I will be charged a $250 non-refundable registration fee per student. I acknowledge and understand the form of payment used for the registration fee will automatically become the default form of payment for monthly tuition. I understand I am responsible to contact Liahona's billing office to make any changes to the billing process. I also understand I will be making 12 monthly tuition payments, beginning July 20, 2022, with consequetive montly payments incurring on the 20th of each month, ending June 20, 2023.
Signature *

Clear
Please call Liahona at 801 785 7850 and speak with Jeannie Bell to pay the registration fee.
*

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? *

Yes No
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