KNOLLWOOD CHRISTIAN ACADEMY APPLICATION FOR ADMISSION

KNOLLWOOD CHRISTIAN ACADEMY APPLICATION FOR ADMISSION
Date:

MonthDayYear
Date
Grade applying for:
STUDENT INFORMATION:
Child's FIRST Name:
MIDDLE:
LAST:
Address
City
State
Zip Code
Child's Place of Birth: (City/State)
Child's Social Security Number:
Child's Gender:
Child Lives With (Mom, Dad, Both):
PARENT OR GUARDIAN INFORMATION:
Birth Father's First Name:
LAST:
Address:
City
State
Zip Code
Cell Phone
Employer/ Occupation
Work Phone:
Ext
Father Email Address
example@example.com
Birth Mother's First Name:
MIDDLE:
LAST:
Address:
City
State
Zip Code
Cell Phone
Employer/ Occupation
Work Phone:
Ext
Mother Email Address:
example@example.com
Step-Parent/Guardian's Name:

(If applicable)
FIRST
MIDDLE
LAST
Address
City
State
Zip Code
Cell Phone
Employer/ Occupation
Work Phone:
Ext
StepParent/ Guardian Email Address
example@example.com
** If you are self-employed, please list the name of your business.
III. In case of emergency and parents cannot be contacted, who may be contacted locally? (please list Ist and 2nd choice):
Name
Phone
Relationship to Child
Name
Relationship to Child
List the names of persons Into whose care the child may be released without permission from the parent or guardian
PARENT'S MARITAL STATUS:
PARENT'S MARITAL STATUS: PLEASE, SELECT ONE:

SINGLESEPERATEDMARRIEDDIVORCEDWIDOWEDNEVER MARRIED- OFFICIAL LEGAL CUSTODIAN
If divorced, please list the person who has custody of the student: (Please include copy of Order of the Custody application)
MISCELLANEOUS INFORMATION:
Has this child had discipline problems?:

YESNO
If YES, please explain
Has this child had academic problems previously?

YESNO
If YES, please explain
Has this child had any testing evaluation?

YESNO
If YES, please provide copies of testing.
Church Affiliation/ Name of Church
School presently attending: If school is out of town, please supply address below.
Address

Address

Street Address Line 2

CityState

Zip
A copy of the previous year's report card must be submitted with the application.
Does the child have other siblings? (Please list names and ages)
State briefly why you are enrolling your child in Knollwood Christian Academy:
FIRST TIME REGISTRANTS: Please list the name of the person who referred you to Knollwood Christian/ how you heard about us.
DATE

MonthDayYear
Date
PARENT OR GUARDIAN SIGNATURE #1:

Powered by Jotform SignClear
PARENT OR GUARDIAN SIGNATURE #2:

Powered by Jotform SignClear
DATE

MonthDayYear
Date
Teacher Request: (Request's are not guaranteed and must be made by June 30th in order to be considered.)
NOTE: Knollwood Christian Academy does not discriminate on the basis of race, color, nationality or ethnicity.
KNOLLWOOD CHRISTIAN ACADEMY FINANCIAL AGREEMENT

Registration is non-refundable/non-transferable.

There is a five percent (5%) discount on tuition if the yearly amount is paid by August I, 2024 (not eligible after August 10 The annual building fee ($250) must also be paid at this time.

The person who signs the financial sheet and enrolls the student is responsible for all the student's expenses.

Tuition will not be prorated for a partial month. If student attends for any part of the month, the total monthly payment is due.

Payment for books and fees are due by JUNE I.

Book, Activity and Technology Fees are non-refundable if student attends school for any portion of the year.

Tuition payments will be drafted on the Ist of each month. A draft fee of $2.00 per month will be added to the monthly tuition payment. A late fee of $25.00 will be charged if bank draft fails.

Tuition is due by the 10th of each month. Tuition payments not received by the 10th will be accessed a late fee of $25.00. Tuition is due on the Ist of each month and past due after the 10th. A $25.00 late fee will be added if not paid by the 10th of each month.

When a tuition account becomes 30 days past due, the student may not return to school until the account is made current.

I/We agree that if our balance becomes delinquent, defined as 90 days past due, and is referred to a collection agency or attorney, we shall be responsible for collection fees equal to 33 1/3% of the balance.

We further understand and agree that if legal action is taken to collect the balance, we shall also be responsible for all court cost.

On checks that are returned because of non-sufficient funds, $25.00 will be charged. If a family has two (2) checks returned because of non-sufficient funds, payment after that must be made in cash. We do not accept post dated checks.

Report cards and permanent records will not be released unless all accounts are paid up-to-date. This includes school fees, lunch charges, library fees, and payments to daycare.

I agree to pay _____months, beginning 2024 through May, 2025 at the rate of $_____ per month- plus $2.00 monthly bank draft fee for the total payment of $_____.

Your signature Indicates that the financial Information has been read and understood.
SIGNATURE

Powered by Jotform SignClear
DATE

MonthDayYear
Date
KNOLLWOOD CHRISTIAN ACADEMY TUITION AND FEES
GRADES K3-8TH GRADE $5,083.00 yearly

5% discount if tuition and fees are paid in full by August 10, 2024

Building Fee: Payment Options: MONTHLY:

10 Month (starts Aug. I)

II Month (starts July I)

12 Month (starts June I)

$250.00 per family yearly/Paid by Dec. I

Tultion - $508.00 + $2 = $510.00

Tuition - $462.00 + $2 = $465.00

Tultion - $424.00 + $2 = $426.00

All installment payments will be done thru bank draft, on the Ist of each month, with a charge of $2.00 per month.

(payment due at time of registration; non-refundable; non-transferable)

$250 First Time Registration (per student)

$200 Re-enrollment per child (thru 2/2/24)

$225 Re-enrollment per child (after 2/2/24)

$20 Grades I-8 TESTING-New Incoming Students Only (payment due at time of registration; non-refundable)

K3 BOOK, ACTIVITY AND TECHNOLOGY FEE- $300

K4 & K5 BOOK, ACTIVITY AND TECHNOLOGY FEE -$350

1st-8th BOOK, ACTIVITY AND TECHNOLOGY FEE -$450

Book, activity and technology fees are due by JUNE 1st.

1501 Knollwood Dr. Mobile, Al 36609 251-661-1987

Website: Knollwoodchristianacademy.com

Email: sally@knollwoodchristinacademy.com

Knollwood Christian Academy does not discriminate on the basis of race, color, nationality or ethnicity
Should be Empty:

KNOLLWOOD CHRISTIAN ACADEMY APPLICATION FOR ADMISSION

STUDENT INFORMATION:

MISCELLANEOUS INFORMATION:

KNOLLWOOD CHRISTIAN ACADEMY TUITION AND FEES