IFFP 2019-2020 Registration Form

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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

YYYY

Child #1 Sunday School Class Attending

Child #2 Name

Child #2 Birthdate

YYYY

Child #2 Sunday School Class Attending

Child #3 Name

Child #3 Birthdate

YYYY

Child #3 Sunday School Class Attending

Child #4 Name

Child # 4 Birthdate

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: *

Our Entire Family

Adults Only

No Photos/Videos Please

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: *

Below $75k

$75k-$125k

$125k-$175k

$175k-$225k

$225k-$275k

More than $275k

Membership Level *

Member

Sponsoring Member

Visionary Member

Transformational Member

Other (enter amount below)

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.

Yes

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.

Yes

Clear selection

New Member. You may pay 50% of the Dues and Tuition amounts listed in the table above.

Yes

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) *

Monthly automated payment from your bank account starting in July 2019. (contact your bank to set up)

Lump sum due 9/4/19 or earlier by check. (Please consider this option if you can. It helps IFFP with cash flow when members pay up front.) Send checks to 10605 Concord Street, Suite 440, Kensington, MD 20895.

Lump sum due 9/4/19 or earlier by PayPal. (please consider adding 3% to offset processing fees) https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=FJ2UNAZUWEYRU&source=url

Other (please contact treasurer at jgbern@yahoo.com)

Submit

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