Direct Bill Request Form 2025-2026

1
Student Name* This field is required.You will be able to add other students on the next question.
First Name
Last Name
2
Any other students you would like to add to Direct Bill as well?
3
Parent Name* This field is required.
First Name
Last Name
4
Parent Email Address* This field is required.
example@example.com
5
Parent Phone Number* This field is required.
Please enter a valid phone number.
6
Is your student a current or new student at Bailiwicks?* This field is required.
Please Select
Please Select
Current
New
Sibling of a Current Student
7
Status of Scholarship* This field is required.If you are FUNDED with available funds from 2024-2025 you will not have to make a cash deposit. If you are awarded, but not funded, (either for 2025-2026 academic year or without reserved funds from the current year) you will be required to make a deposit until your student is funded.
Please Select
Please Select
Funded 2025-2026, and have current funds available from 2024-2025 to make deposit.
Funded 2025-2026 and will have funds in my Q4 drop
Awarded 2025-2026
Funded 2025-2026
8
If you are not "awarded and funded" with funds available, you will need to make a deposit with cash/check or cc. This deposit is eligible for refund when your SUFS funds become available in EMA (usually in September). We will hold a place for you in Direct Bill with a deposit but we are unable to bill you through SUFS until those funds are available. Please email registrar@bailiwicks.org for more deatails.
9
How many classes is your student registering for Wednesdays 2025-2026? * This field is required.Please make note of the cost of each class- this is the total amount of tuition (not including fees) for the whole year. You will be asked to reserve only a portion of this upon registration.
Please Select
Please Select
1-- $495
2- $990
3- $1,485
4- $1,900
5- $2,350
6- $2,790
10
Would you like to pay for tuition with 2024-2025 funds?* This field is required.
Please Select
Please Select
no, I just want to make my deposit for 2025-2026
yes- Just Fall Tuition
yes- entire years Tuition
11
You indicated you would like to pay for next year with this years funds. Please hold on to those funds until we have our 2025-2026 Step Up Prices approved on EMA. For now, please reserve the $545 Deposit and Annual Registration fee. As soon as our new prices are available on StepUp we will reach out to you to proceed. Thank you!
12
I have reserved the following funds in EMA SUFS Portal * This field is required.Please reserve $545 for tuition deposit + Annual Family Registration Fee (1 per family per year) Directions for StepUp https://1drv.ms/w/c/5501040aceb132c3/EWx2dHz-9RdBm9xod6WXixsBjraeYW5l8K3dBlsHoK-hYA?e=il8c8v
Please Select
Please Select
$545 + $100 Annual Family Registration Fee
No- not available yet. (You will need to make your deposit in cash/check/cc to hold your spot, however, we will mark you as a Direct Deposit Family)
13
I understand that my student's tuition will not be eligible for the Early Bird discount if I choose to enroll in Direct Bill with Bailiwicks.* This field is required.
Please Select
Please Select
Yes, I understand.
14
I understand that per SUFS contract with vendors, tuition is not refundable or transferrable to another student if I choose to enroll in Direct Bill and even if my student does not attend, classes will be billed for. This aligns with the same policy we have for non Direct Bill students as well.* This field is required.
Please Select
Please Select
Yes, I understand.
15
Thank you for registering with Bailiwicks as a SUFS Scholarship Direct Bill Family. You may proceed with Registration on our website (if you haven't already). As mentioned, please make your deposit with cash/check or cc when prompted to reserve your classes. With that, you will reserve your spot as a Direct Bill family as well and we will make the change when your funds become available.

Thank you!
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