IFFP 2019-2020 Registration Form
Family Name: *
Address (including street name, number, city, state and zip code)
Home Phone Number
Adult Member Name #1
Adult Member #1 Cellphone
Adult Member #1 Email
Adult Member Name #2
Adult Member #2 Cellphone
Adult Member #2 Email
Child #1 Name
Child #1 Birthdate
MM
/
DD
/
YYYY
Child #1 Sunday School Class Attending
Child #2 Name
Child #2 Birthdate
MM
/
DD
/
YYYY
Child #2 Sunday School Class Attending
Child #3 Name
Child #3 Birthdate
MM
/
DD
/
YYYY
Child #3 Sunday School Class Attending
Child #4 Name
Child # 4 Birthdate
MM
/
DD
/
YYYY
Child #4 Sunday School Class Attending
PHOTO RELEASE
Photo Release: Please pick your choice. For use on IFFP's website or other promotional materials, we consent to the release of still photos/video of: *
Required
GRANDPARENTS
Please update or list grandparent names and addresses if you'd like them to receive an invitation to Grandparent's Day. If you have already given us grandparent information in the past, we will continue to invite them to Grandparent's Day.
Grandparents #1 Name (please list if you'd like them to be invited to our Grandparent's Day)
Grandparents #1 Address (including street name, number, city, state and zip code)
Grandparents #1 Email
Grandparents #2 Name (please list if you'd like them to be invited to our Grandparent's Day)
Grandparents #2 Address (including street name, number, city, state and zip code)
Grandparents #2 Email
2019-2020 Dues Structure
Payment Information:
DUES:
Income level from table above: *
Membership Level *
Sustaining Member (Youngest child graduated from COA in 2019 or earlier) You may pay 50% of the amounts in the table above, but please consider giving more generously.
Clear selection
Lifetime Member (Youngest child graduated from COA in 2011 or earlier) You may pay $400/year under a previous agreement, but please consider giving more generously.
Clear selection
New Member. You may pay 50% of the Dues and Tuition amounts listed in the table above.
Clear selection
Total Annual Dues Amount (from table) = ?
TUITION:
Regular Sunday School Tuition: (Number of kids x $660 (annually)) =
COA/COA Prep Tuition: (Number of kids x $756 (annually)) =
Teacher Waiver: To see your monthly waiver, email Treasurer Josh Bernstein at jgbern@yahoo.com BEFORE YOU PAY.
TOTALS:
Total Annual Dues (Dues + Tuition - Waiver) =
Monthly Payment (divide by the number of months between today’s date and June 2020)
Payment Preference (please pick one) *
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