Direct Bill Request Form 2026-2027

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 2025-2026 you will not have to make a cash deposit. If you are awarded, but not funded, (either for 2026-2027 academic year or without reserved funds from the current year) you will be required to make a $500 deposit until your student is funded.
Please Select
Please Select
Awarded 2026-2027, and have current funds available from 2025-2026 to make deposit.
Awarded 2026-2027, no funds available for deposit
Brand New PEP or UA student, Eligible 2026-2027
other
8
If you do not have 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 Mondays 2026-2027?* 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
I have reserved the following funds in EMA SUFS Portal * This field is required.Please reserve $500 for tuition deposit + $100 Annual Family Registration Fee (1 per family per year) and $225 Materials Fee. Directions for StepUp https://1drv.ms/w/c/5501040aceb132c3/EWx2dHz-9RdBm9xod6WXixsBjraeYW5l8K3dBlsHoK-hYA?e=il8c8v
Please Select
Please Select
$495 + $100 Annual Family Registration Fee + Materials 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)
other
11
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.
12
Thank you for registering with Bailiwicks as a SUFS Scholarship Direct Bill Family. This form will alert us and we will check to see if we have reserved funds. Once those funds are reserved, we will email or text you a code with the phone number on file. That will allow you to register without paying the tuition.

Thank you!
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