• Enrollment Form 2023-2024

  • Student Information

  • Format: (000) 000-0000.
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  • Family Information for Primary Residence

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Family Information for Secondary Residence

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Enrollment is not complete until all forms, birth certificate, registration fee and deposit have been received in the Business Office.

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  • Tuition 2023-2024

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  • REGISTRATION FEES (non-refundable & non-transferable): Current Student: $150.00, New Student: $200.00

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          Total $0.00
        • *Semester payment includes $75.00 fee per semester for all day preschool & K-6, $50.00 per semester for ½ day preschool.
          **The 10-month plan includes a 5% service fee.
          ***The 10-month automatic withdraw includes a 4% service fee.


          ANY ACCOUNT NOT PAID BY THE 10TH OF THE MONTH OR 10 DAYS PAST AN AGREED UPON DUE DATE, WILL BE SUBJECT TO A 5% LATE FEE. THE TUITION AGREEMENT IS FOR THE ENTIRE SCHOOL YEAR WITH A MINIMUM OF A SEMESTER.


          WE AGREE TO ABIDE BY THE ABOVE TUITION SCHEDULE AND POLICIES.
          I hereby affirm that I understand the financial obligations of this application and agree to take full responsibility for the payment of this account. If a student withdraws after the start of the semester, balance of the semester is due in full.  Students intending to withdraw at the end of 1st semester parents/guardians must provide in writing an intent to with draw to the office at least 30 day prior to the start of second semester. Should I default, I agree to pay all cost of collections including collection agency fees, attorney fees and court fees. (Application not valid without a signature)

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        • *WAYS TO REDUCE TUITION COST:


          1. Student Referral Program will earn you a tuition credit. Any current family who referrers a new student to Alpine Academy will earn a tuition credit to reduce the current year’s tuition. The new student must stay enrolled for the entire school year and their tuition must be kept up to date. We reserve the right to qualify students according to appropriate grade placement and testing, if needed. The new student may not be members of your immediate family (siblings) since any child over one in a family already receives a discount.
          2. A multiple student discount may be given where a family has more than one child enrolled. The 2nd, student 10% off, 3rd and 4th students 50% off.
          3. Scrip Program-When you purchase gift cards from designated stores, a percentage of the purchase price will go towards your child’s tuition.
          4. Alpine Lutheran Church-If you are a member of Alpine Lutheran Church and in good standing, you will receive a 10% discount off your tuition.

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        • In consideration of Alpine Academy of Rockford, we agree to abide by the following policies.

          • Applications made during the school year for admission for the following year are subject to any and all possible modifications that might be made by school leadership.
          • Prior to or upon entrance to preschool, kindergarten and 5th grade the Illinois State law requires all students in public, private, or parochial schools, to have a physical, diabetes screening and age appropriate immunizations and lead screening. Proof of a dental examination is required in Kindergarten, second, and sixth grades. Kindergarteners are required to submit proof of a vision exam completed by a ophthalmologist or optometrist.
          • I understand it is my responsibility to read and familiarize myself with the Alpine Academy of Rockford handbook, understanding all policies and expectations to ensure a successful educational experience for my child(ren). These policies and handbook are available in the office.
          • I understand it is my responsibility to read and familiarize myself with the Alpine Academy of Rockford Parking Map. This policy is in the handbook and available in the office.
          • I give permission for my child to take part in all school activities, including sports and school sponsored trips away from Alpine Academy of Rockford’s premises, and absolve and waive any claim against the school from liability to me or my child because of any injury to my child at school or during any school activity.
          • I understand Alpine Academy of Rockford requires a student dress code/uniform as stated in the handbook and hereby agree to uphold and adhere to it as stated.
          • Alpine Academy of Rockford has permission to use my child(ren)’s name and image for publicity in publications, printed material, television, website etc. If consent is denied please notify the secretary.
          • I understand the standards for all students of Alpine Academy of Rockford do not allow use of illegal drugs, profanity, alcohol, cigarettes, obscene behavior, or disrespect to God or His Word. I also understand that disrespect to faculty and staff is not allowed. Obviously, these guidelines apply both in and out of school as a student’s outside conduct impacts his/her attitudes and influence while at school. As a parent, I agree to work with the school and encourage consistent behavior both at school and when away from school.
          • Student and parent/guardian specifically assumes all risks associated while participating in Alpine Academy of Rockford sports and or activities and waives any claims against the owner or the property on which the sport or activity is held.
          • The school shall withhold transcripts grades, and other enrollment documents until tuition, fees and assessments are paid in full. A student shall not be permitted to enroll for subsequent school years until all prior tuition, fees and assessments are paid in full.
          • I hereby affirm that I understand the conditions and obligations of this application and that all of the information contained in this application packet is true and accurate to the best of my knowledge.

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        • Enrollment is not complete until all forms, birth certificate, registration fee and deposit have been received in the Business Office.

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        • Students enrollment will be pending until it is determined that Alpine Academy of Rockford is able to accommodate the student’s needs.

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        • Alpine Academy of Rockford

          5001 Forest View Avenue Rockford, IL 61108
          815-227-8894

          811 Locust St. Rockford illinois 61101

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