K-8 Re-Enrollment Agreement 2023-2024

K-8 Enrollment Agreement 2023-2024

THIS FORM IS TO BE FILLED OUT FOR STUDENTS CURRENTLY ENROLLED AT BETHANY SCHOOL FOR THE 2022-2023 SCHOOL YEAR. PLEASE SEE THE OPEN ENROLLMENT FOR NEW STUDENTS BEGINNING JANUARY 30, 2023.
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 NameLast Name
Gender*

BoyGirl
Birthdate*

MonthDayYear
Date
Grade Entering Fall 2023*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Please enter a valid phone number.
Parent 1 / Legal Guardian's Information
Parent 1 / Legal Guardian's Name*

First NameLast Name
Relation to Child*

MotherFatherOther
Cell Phone Number*
Please enter a valid phone number.
Work Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent 2 / Legal Guardian's Information
Parent 2 / Legal Guardian's Name

First NameLast Name
Relation to Child

MotherFatherOther
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 $50. 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 $150 and Technology Fee of $100 is due upon enrollment.

All fees are 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 September 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 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 any discounts in re-enrollment pricing and reserve your child's spot for the 2023-2024 school year.
Payment*

I agree
Should be Empty:

K-8 Enrollment Agreement 2023-2024

Parent 1 / Legal Guardian's Information

Parent 2 / Legal Guardian's Information

Terms of Agreement

Payment