2020-21 Toddler Enrollment Contract 2020-21 Toddler Enrollment Contract This contract is for enrollment in the 2020-2021 school year. Child's Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Gender*MaleFemaleParent/Guardian #1 Name* First Last Parent/Guardian #1 Email* Parent/Guardian #2 Name First Last Parent/Guardian #2 Email Please check the appropriate box regarding your child's age* My child will be between 2 years 8 months and six years old by September 1, 2020 My child will be younger than 2 years 8 months old by September 1st My child is 6 years or older by September 1st, 2020 Has your child been approved for enrollment even though they don't meet the age requirements? Please explain.*I am enrolling my child for the program identified below:Half Day (8:45 am to 11:45 am) Toddler Program at the Park CampusSchool Day (8:45 am to 3:00 pm) Toddler Program @ the Park CampusAll Day Montessori (7:45 am to 6:00 pm) Toddler Program @ the Park CampusPark Campus Toddler Program Tuition OptionsHalf Day 8:45 am - 11:45 am. School Year Tuition is $13,920.00 to be paid in ten monthly payments of $1392.00.School Day 8 :45 am - 3:00 pm. School Year Tuition is $17,800.00 to be paid in ten monthly payments of $1780.00.All Day 7:45 am - 6:00 pm. School Year Tuition is $21,600.00 to be paid in ten monthly payments of $2160.00.The monthly tuition fee is based on a total yearly tuition amount for the school year (Sept. 7th, 2020 to June 11th, 2021) which is divided into 10 equal monthly payments. Summer tuition is additional. Half Day program hours are Monday through Friday from 8:45 am to 11:45 am). School Day program hours are Monday through Friday from 8:45 am to 3:00 pm All Day Montessori hours are Monday through Friday from 7:45 am to 6:00 pm.Desired start date in the Toddler Program - child must be 18 months old to start*Summer 2020September 2020Mid-Year Start, child must be 18 months to startTotal $0.00 Billing InformationPlease note: to submit the enrollment contract you pay the Non-refundable deposit payment with a credit card. This payment is for June 2021.Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Cardholder Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cardholder EmailCardholder PhoneI UNDERSTAND AND AGREE TO THE FOLLOWING TERMS: Please click in box directly below to read terms.1. Registration at Bellevue Montessori School requires agreement with the philosophy and policies described in the Parent Handbook. By signing this contract, I acknowledge that I have read the parent handbook for the program in which my child is enrolled and agree to and accept the provisions and policies that are contained in it, as well as any revisions that may be adopted after this date. I acknowledge that it is my responsibility to request an explanation or clarification for any provision which I do not fully understand. I understand that the school may revise the handbook at any time, and that written notice of revisions will appear in a school newsletter. I agree that I am responsible for reading the newsletter to be aware of any revisions. 2. I specifically acknowledge that I have read, understand, and agree to each of the following (found online at https://bellmontessori.com/toddler/: -Emergency Response Plan -Pesticide Policy (in the Handbook) -Health Policy (in the Handbook) -Pet Policy (in the Handbook) 3. I agree that I will promptly notify Bellevue Montessori School in writing of any changes in the information contained in the application for enrollment and of any other information required by school policies. 4. Bellevue Montessori School charges an annual tuition for the school year as described at the beginning of this contract. The tuition payment obligation remains the same each month regardless of the number of days of school in the month, attendance, vacations, family emergencies, school closure, holidays, student illness, and any other reason that my child does not attend school. School closure days due to weather or power outages are not made up. 5. When 2 children from the same parents attend school at the same time, the second child’s tuition will be reduced by 3%. The tuition of a third child in the same school year from the same parents will be reduced by 3%. This reduction is taken on the final payment of the school year. 6. Families who chose to pay the full tuition in one payment before school starts may reduce the annual payment by 3%. 7. The total of all combinations of discounts cannot exceed 6%. 8. Unless the total tuition is paid prior to the start of school, the annual tuition is due in nine equal installments plus the deposit unless program schedule changes. Payment of tuition may be made by preauthorized draft from your bank account or preauthorized payments by a credit card. * Payment #1 is due with the completed enrollment form and contract within 14 days of receiving the enrollment offer and is made by credit card for no additional fee. The non-refundable deposit payment is your payment for June 2021. * Payment #1. This is a non-refundable deposit. ** Credit card payments made online through Tuition Express are subject to a 3.2% convenience fee on all payments. * For New Students Only - Payment #2 is due May 1st or 30 days after you submit the enrollment form, contract and deposit payment #1. This non-refundable deposit payment is your payment for May 2021. If you sign up for the ACH (automatic drafts), this payment would be taken out in May 2021 per the usual tuition payments. Credit card payments made online through Tuition Express are subject to a 3.2% convenience fee on all payments. * For later enrollments, both deposit payments are due prior to the start of the school year in September. * The remaining payments are due the first school day of the month from your child's start date through May, either by automatic drafts (ACH) through Bellevue Montessori School or directly with a check for no additional fee. Credit card payments made online through Tuition Express are subject to a 3.2% convenience fee on all payments. 9. I agree to pay monthly tuition payments on or before the first school day of the month. I will pay a $25.00 late fee if my tuition payment is received after the fifth of the month, a $30.00 handling fee for any declined payment and interest on past due balances at the rate of 1.5% per month. 10. If your child is withdrawn, you forfeit your June 2021 deposit payment. 11. An authorized adult will pick up the student from school each day in accordance with School policy. I agree to pay charges for Activity Club or the applicable Late Pickup Charge fee (for late pickup from Activity Club) if my student is not picked up on time. 12. Bellevue Montessori School reserves the right, in its sole and absolute discretion, to revoke enrollment at any time (before or after the beginning of classes) when it deems it necessary. In the event admission is revoked, Bellevue Montessori School reserves the right to determine whether any portion of the tuition deposits will be refunded. 13. In the event an attorney is employed to collect any amount due hereunder, I agree to pay all attorneys’ fees and costs incurred by Bellevue Montessori School for the collection of the amount due.*I have read the above contract I understand and agree to all provisions.Parent #1/guardian Signature*Date Date Format: MM slash DD slash YYYY Parent #2 /guardian SignatureDate Date Format: MM slash DD slash YYYY
