Re-Enrollment Form 2021-22

Student Name (First and Last name): *

Grade applying For: *

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Date of Birth *

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Parent/Guardian Name: *

Home Address: *

Siblings Attending ILM Academy: *

Father's Phone Number: *

Mother's Phone Number: *

Father's Email: *

Mother's Email: *

Emergency Contact (if parent/ guardian cannot be reached):

Name of Emergency Contact: *

Phone Number of Emergency Contact: *

Relationship With Emergency Contact: *

Financial Agreement (2020-21) Please select one of the options below: *

(Paid Annually by May 31st, 2021) is $5000 (After 5% Discount) Paid Through ACH.

(Paid Monthly) is $525/month (for ten months) Paid Through ACH.

Tuition with Sibling Discount (Paid monthly) is $500/month (for ten months) Paid Through ACH.

Required

Additional Policies and Pertinent Information: Please review carefully. ILM Academy reserves the right to impose appropriate penalties in situations when tuition payments are delinquent.

These may include, but are not limited to denial of re-enrollment, suspension of students, not allowing students to sit for exams, withholding of transcripts and records as prescribed by law.

* Registration fee is non refundable and due in full at the time of registration.

* Book use fee is due in full at the time of registration. Book use fee is only refundable if the application is withdrawn by 31st May, 2021 with a written withdrawal form.

* We require all parents to enroll in ACH tuition payment.

* Last date to withdraw a child from the class is 15th of the running month. If a withdrawal application is submitted after the 15th of the running month, the tuition fee for the subsequent month will be charged. All withdrawal applications must be submitted to school office in writing. If withdrawing multiple children, a separate withdrawal form must be submitted for each child.

* Students are required to take care of books and return them at the end of the year. Parents will be assessed additional fees if books are not returned or if they are returned in less than satisfactory condition.

* Volunteer time: All parents are required to complete 25 hours of volunteer time per family. A $200.00 Volunteer fee is expected at the time of registration. This shall be refunded at the end of school year if all 25 hours have been completed. It is the responsibility of parent to work with school administration to find volunteer opportunities.

Note: Tuition is due is full for each month regardless of the number of days your child attends school. If your child is sick and does not attend, the payment will not be reduced and no compensation will be made for hours or days missed. The tuition will remain the same for months in which there are long holidays. ILM Academy reserves the right to alter the calendar or school at any time throughout the year. Such alterations do not change the parental requirement to pay full tuition. Registration fee is non-refundable. Book use fee is only refundable if the application is withdrawn by 31st May 2021. Last day to withdraw is 15th of the prior month in the form of fully filled withdrawal application and submitted to the office in print. Separate withdrawal is required for each child.

I understand the amount of tuition for my child/children and that I will not be receiving a monthly bill. I further understand that payment will become delinquent on the fifth day of any month for which I have not yet made a tuition payment and that a late fee of $50 will be assessed.

Parent/ Guardian Signature: *

Automatic Payment Form ILM Academy uses an Automatic Deduction Payment Service for your convenience. It is a safe and secure way to make your payments. For the 2021-22 school year we will process the deduction on the 3rd of each month. Should the 3rd fall on a Saturday or Sunday, the deduction will take place on the following Monday. If you wish to stop the automatic deductions, you will need to submit your request in writing at least one week before the next deduction is to be made. Please select at least one of the options. *

Use ACH information already on file from last year.

Charge my account for registration fee, book use fee and volunteer fee.

5% Sibling discount

Basic Fund

Charge my account for Annual fee $5000 (5% discount if paid before 31st May, 2021)

Required

Authorization For Automated Payments -

I authorize and request ILM Academy to initiate debit entries to my account, by and through Automated Clearing House, hereinafter called ACH, and to debit the same to such account as indicated at the depository financial institution indicated below. This authorization is to remain in full force and effect until ILM Academy has received written notification from me of its termination in such time and manner as to afford ILM Academy and depository financial institution a reasonable opportunity to act on it.

Parent/ Guardian Name for ACH: *

Child's Name for ACH: *

Monthly Amount to Charge on ACH: *

Bank Name for ACH: *

Account Type for ACH: *

Checking

Saving

Routing Number for ACH: *

Account Number for ACH: *

Parent/ Guardian Signature Authorizing ACH: *

Parent/ Guardian Name: *

Date: *

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