Request edit access
Payment Agreement 
In registering my child/children for the school year 2023-2024, I do hereby pledge and promise the payment of all school tuition, fees, tickets, and related expenses.  I understand that the registration period held during the spring is for the school year beginning in August of that year.  I expressly agree that if my child is accepted for enrollment, I will pay all amounts due (including tuition, fees, and ticket assessments, If I choose not to sell tickets I understand that $100 a month for ten months will be added to my tuition or I can give an annual donation of $1000, due by August 30)  for the ENTIRE school year for which I have registered in accordance with the approved payment plan I have selected.  I understand that it is the policy of the school to make NO refunds of registration fees or tuition.  I understand that if at any time there exists an unpaid indebtedness to the school, all records, reports, and transcripts may be withheld until indebtedness is paid in full. 
Any Family that does not sign a payment agreement will be charged a non-working family tuition.  Any Family receiving any type or kind of financial aid is automatically under the working family 50 hours contract.  
By typing your name at the bottom, you have read and agreed to terms.  
Sign in to Google to save your progress. Learn more
First Student Name and Grade  *
Second Student Name and Grade 
Third Student Name and Grade 
Fourth Student Name and Grade 
Please indicate the payment plan you will abide by (Pick ONE)  *
Please indicate the tuition plan you will abide by :  (Pick ONE)  *
Parent (Responsible Party) Signature  and Date  *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report