RE-ENROLLMENT FORM

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RE-ENROLLMENT FORM

Online Re-enrollment Form. This is the initial form, and additional pieces may be required to finalize the student's acceptance into the Academy.

Email *

Re-enrollment Contract - 2021-2022 Academic Year

In consideration of the acceptance of this Contract by Christian Academy of Greater St. Louis, (hereinafter referred to as Christian Academy), the undersigned enrolls the following named student(s) and agrees to pay the required fees as specified by the current Tuition and Fee Schedule.

Tuition and Fee Schedule Link:
https://drive.google.com/file/d/1o4Dsbqp5Eumf2OJyqOrmPN2L7KiVeV6Y/view?usp=sharing

Student Name *

Gender *

Female

Male

Grade *

Student Name

Gender

Female

Male

Clear selection

Grade

Student Name

Gender

Female

Male

Clear selection

Grade

Student Name

Gender

Female

Male

Clear selection

Grade

Read and Checkmark *

Please read and checkmark each of the items below (by clicking each item you understand the contractual obligations that will come into full fruition upon signing the final paperwork). This online form will be added to the student's records:

1. I understand that in signing this Contract for the coming year, I am agreeing to accept the rules and regulations of Christian Academy as stated in any applicable school handbook, as well as the rules concerning payment of tuition and fees. I further understand that successful completion of the 2020-2021 academic year and recommendation of Christian Academy is required for re-enrollment of current students.

Required

Tuition and Fee Schedule Link:https://drive.google.com/file/d/1o4Dsbqp5Eumf2OJyqOrmPN2L7KiVeV6Y/view?usp=sharing

2. I understand that Christian Academy must make financial commitments on an annual basis to provide adequate faculty, staff, and other resources to educate its students. Because of these commitments, I understand that my student’s enrollment, as specified within this Contract, is for the entire school year. This contract may be cancelled by me in writing, without penalty, if hand-delivered or sent via certified or registered mail on or before May 31, 2021. I understand that after May 31, 2021 and prior to August 23, 2021, an early withdrawal fee of $500 will be assessed. After August 23, 2021, the withdrawal fee will be the lessor of $1,500 or the remaining tuition due. These fees must be paid in full prior to academic records being released. I further understand that non-payment of tuition and fees does not constitute cancellation of this Contract.

Required

3. I am aware that the tuition charged each student does not cover the entire cost of his/her education at the Christian Academy. I understand that my child(ren) will be required to raise a minimum of $250 per student for this school year thru the annual fundraising opportunities (i.e. fall event, spring event and/or the on-going Scrip program all year) or the amount will be added to the student’s end of the year financial account.

Required

4. I will execute and return to Christian Academy a separate Emergency Procedures Form authorizing Christian Academy to act on my behalf as agent to furnish authorization and consent for medical or surgical services to be provided to my child in the event of a medical emergency. I hereby release Christian Academy from any liability which might arise from the giving of such authorization or consent on my behalf, it being my desire that my child be furnished with such medical or surgical treatment as soon as reasonably possible after the need arises.

Required

5. I consent to the use, publication, and copyright by Christian Academy in its publications, brochures, videos, internet web site, and other promotional materials, of photographs in which my child may appear as a student in any programs or activities of Christian Academy; and the foregoing consent shall extend beyond my child’s enrollment, and shall survive any termination of this contract.

6. I agree to release and hold harmless Christian Academy, its agents, and its employees from all claims, damages, or liabilities for injuries to my student that are not the result of gross negligence by Christian Academy, its agents, or its employees. I further agree to compensate Christian Academy for any damages caused by my student.

Required

Tuition and Fee Schedule Link:https://drive.google.com/file/d/1o4Dsbqp5Eumf2OJyqOrmPN2L7KiVeV6Y/view?usp=sharing

7. I understand that all payments are due on or before the dates set forth in the current Tuition and Fee Schedule. I further understand that I am obligated to pay a late payment fee of $25 for the past due payment if any payment is not paid on or before the due date. I understand there is a returned check fee of $30 for any payment that is dishonored or returned for any reason. Additionally, the undersigned agrees to pay Christian Academy interest on any unpaid tuition or fees at the maximum legal rate for the period said amounts remain unpaid after my student ceases to be enrolled at Christian Academy. The fees and interest applicable to such late payments are in addition to the collection costs set for in paragraph 14 of this Contract. The imposition or acceptance of any late charges or interest by Christian Academy shall not be deemed to be a waiver of any obligation for timely payment, nor an extension of credit.

Required

8. I understand as a parent of a student in grades 1-5 I will pay the $25 Technology fee August 23, 2021. This fee covers the use of tablets and the technology infrastructure.

Required

9. I understand as a parent of a student in grades 6-11 I will pay the $175 Chromebook lease fee prior to August 23, 2021. My student will be given a Chromebook computer for use during the 2021-2022 school year. The Chromebook will be returned to the school at the end of the school term or full replacement costs will be charged.

Required

10. I understand as a parent of a student in grade 12th I will pay the $250 Chromebook lease fee prior to August 23, 2021. My student will be given a Chromebook computer for use during the 2021-2022 school year. The Chromebook will be returned the week of graduation so that any Christian Academy information is removed and it will be returned to the student at graduation for them to keep. If the student does not want to keep the Chromebook at the end of the school year, the fee to pay is $175, which is required to be paid in full prior to the 1st day of school.

Required

11. I understand and agree that, notwithstanding the acceptance and enrollment of my student by Christian Academy, attendance at Christian Academy and/or participation in its activities are privileges which may be temporarily or partially suspended, totally withdrawn, or terminated by Christian Academy, in its sole discretion. Christian Academy may take such action for: (a) academic or disciplinary reasons; (b) failure of the student and/or the student’s parent(s) or legal guardian(s) to abide by the policies, rules, and/or regulations of Christian Academy including those in effect at the date of this Contract, or as subsequently amended or supplemented thereafter; (c) failure to pay, when due, any amounts due under this Contract; or (d) such other reasons as may, in the reasonable judgment of Christian Academy, constitute a danger to, or interfere with, the health, orderly learning environment, or safety of the student, other students, or the faculty and staff.

Required

12. I understand that if payment of tuition and fees is not made in accordance with this Contract, Christian Academy shall have the right to refuse to admit the student to class, to refuse to allow the student to take quarter or semester examinations, and to withhold the grades, transcript, recommendations, any reference material, or other records of grades awarded or courses completed until all of my financial obligations under this Contract are satisfied.

Required

13. I understand that this Contract constitutes the entire agreement with Christian Academy with respect to the enrollment of my student in Christian Academy, superseding any prior agreement or understanding, written or oral. I further understand that this Contract shall be construed and enforced, both as to interpretation and performance, according to the laws of Missouri.

Required

14. I represent to Christian Academy that I have full authority to enter into this Contract and acknowledge that I am financially responsible for the payment of all charges and fees. I agree to pay all expenses incurred by Christian Academy (including, but not limited to, reasonable attorney’s fees, collection expenses, and court costs) in enforcing any and all provisions of this Contract and/or as a result of the dismissal of any action(s) which may be brought on my and/or my student’s behalf against Christian Academy, its agents and/or employees.

Required

Note on confidential information *

Due to the sensitive nature of certain information, we will not ask for all the details needed to complete your application through our online system. Once your online application is completed and a school visit is scheduled, these elements of the enrollment paperwork will be part of the final packet.

I understand that confidential information will not be transmitted through online methods, and I agree to finalize the enrollment contract in person.

Required

PAYMENT OPTIONS

Please mark the following appropriately.

(Please refer to the Tuition and Fees Schedule for further information on each option.)

One-time payment in full…This payment is made directly to the school. It must be made on or before July 1, 2021. If full payment is not received by July 1, 2021, you must enroll in the monthly tuition payment program.

Two payments…The payments will be paid to the Tuition Payment Program by either a pre-authorized bank draft or credit/debit card automatic payment. The first payment will be due July 1, 2021. The second payment will be due January 2, 2022. A $30 fee will be applied to any NSF payments. A service fee will be applied to all debit/credit card payments.

Pre-authorized payments... by automatic bank draft or pre-authorized credit/debit card (3-12 payments). The payments will be collected by the Tuition Payment Program. A $30 fee will be applied to any NSF payments. A service fee will be applied to all credit/debit card payments. Payments are budgeted over the number of remaining months through May 2022. Payments can be scheduled for either the 5th or the 15th of the month.

Clear selection

Choose one Payment Day *

5th of the month

15th of the month

Choose how many months

If making monthly payments between 3 - 12 months

Checkmark the box below after reading the statement *

I agree to the above payment terms. I understand that the payment date can only be adjusted one time during a school year. Multiple requests cannot be honored.

Required

Person(s) responsible for tuition payment: *

Provide Name:

Person(s) responsible for tuition payment: *

Provide Email:

Person(s) responsible for tuition payment: *

Provide Phone Number:

IN WITNESS WHEREOF,

I have reviewed all of this Re-Enrollment Contract, and agree to abide by the provisions of the Contract and all materials incorporated into it, and have executed this Contract on the day and year set forth below.

Responsible Party's Name #1 *

Date *

YYYY

Relationship #1 *

Email address for school communications #1 *

Responsible Party's Name #2

Date

YYYY

Relationship #2

Email address for school communications #2

Electronic Signature *

By clicking the box below, I certify all information is true and correct to the best of my knowledge.

All fields have been reviewed and information shared is accurate.

Required

Continuation of Electronic Signature - Full Name *

Continuation of Electronic Signature - Date *

YYYY

Submit

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