|
NEW STUDENT REGISTRATION FORM
2008-2009 SCHOOL YEAR
REGISTRATION TUITION INSTRUCTIONAL MATERIALS MAINTENANCE FEE
$400 $5,775 $200 $100
PLEASE COMPLETE THE FOLLOWING FORM AND RETURN TO THE SCHOOL.
REGISTRATION FEE IS DUE WHEN SUBMITTING THIS FORM.
ALL FEES ARE NON-REFUNDABLE (REGISTRATION, INSTRUCTIONAL MATERIALS AND MAINTENANCE).
HOPE ACADEMY IS A NON-DISCRIMINATORY SCHOOL.
STUDENTS NAME: ________________________________________
DATE OF BIRTH: ____________________
CURRENT GRADE: ____ 2008-2009 CLASS PLACEMENT: ________
PARENT(S)/GUARDIAN(S)
NAME:
_____________________________and/or_________________________________________
Child lives with:
____________________________________________
MAILING ADDRESS:(parent/guardian responsible for fees)
____________________________________________
____________________________________________
CITY STATE ZIP
PHYSICAL ADDRESS:
____________________________________________
____________________________________________
CITY STATE ZIP
HOME PHONE: ____________
MOTHER’S WORK: ____________ FATHER’S WORK: ___________
MOTHER’S CELL: ______________FATHER’S CELL: ____________
MOTHER’S E-MAIL: ____________ FATHER’S E-MAIL: __________
PLEASE CHOOSE ONE OF THE FOLLOWING PAYMENT OPTIONS FOR THE UPCOMING SCHOOL YEAR:
____ I WILL PAY IN FULL BEFORE MAY 16, 2008, TO RECEIVE A $200 DISCOUNT ON MY CHILD’S TUITION.
____ I WILL PAY IN FULL PRIOR TO THE OPENING OF SCHOOL ON AUGUST 5, 2008.
____ I WILL PAY IN TWO INSTALLMENTS, BY SEMESTER, WITH FIRST NSTALLMENT DUE AND PAYABLE BEFORE AUG 15, 2008 AND 2ND INSTALLMENT DUE AND PAYABLE BEFORE JAN 5, 2009.
____ I WILL PAY USING THE TUITION LOAN PAYMENT PLAN THROUGH FIRST BANK, PAYABLE IN MONTHLY INSTALLMENTS TO FIRST BANK.
PARENT’S SIGNATURE:
________________________________DATE __________________
3650 O’Neal, Lane Suite A, Baton Rouge, LA 70816
phone: 225-293-0141 fax: 225-293-0442
Download enrollment form
|
