2021-22 Elementary Enrollment Contract 2021-22 Elementary Enrollment Contract This contract is for enrollment in the Bellevue Montessori School Elementary program for the 2021-2022 school year. Lower Elementary includes first through third grade. Upper Elementary includes fourth through sixth grade. The Lower Elementary School Day Program is Monday through Friday, 8:30 am to 3:15 pm daily and the Upper Elementary School Day Program is Monday through Friday, 8:30 am to 3:20 pm daily. The Elementary School Day Program and Activity Club Before and After School Care hours are 7:30 am to 6:00 pm daily. The Activity Club Before and After School Care Program includes 15 days where school is closed but care is provided. See the school calendar at https://bellmontessori.com for details. Child's Name* First Last Parent #1 Name* First Last Parent #2 Name First Last Date of Birth* Does your child meet the age requirements of being 6 to 11 years of age as of 9/1/2021?* Yes, my child is between six and eleven years old by September 1, 2021 No, my child's age is not between six and eleven years old by September 1, 2021 Has your child been approved for enrollment even though they don't meet the age requirements? Please explain.What is your desired start date?Fall 2021Mid-year startSummer session 2021Elementary Tuition OptionsLower Elementary School Day Program (School year Tuition of $18,600.00). Ten monthly payments of $1,860.00.Lower Elementary School Day Program and Activity Club (School year tuition of $23,700.00). Ten monthly Payments of $2,370.00.Upper Elementary School Day Program (School year Tuition of $19,000.00). Ten monthly payments of $1,900.00.Upper Elementary School Day Program and Activity Club Before and After School Care (School year Tuition of $24,100.00). Ten monthly payments of $2,410.00.Mid-year start in Elementary ProgramLower Elementary School Day Program. Monthly payments of $1,860.00.Lower Elementary School Day Program and Activity Club, Monday - Friday. Monthly payments of $2,370.00Upper Elementary School Day Program. Monthly payments of $1,900.00.Upper Elementary School Day Program and Activity Club. Monthly payments of $2,410.00Tuition on a mid-year start will be based on the number of months that your child attends. Tuition is paid on a monthly basis and requires two tuition deposits for May 2022 and June 2022. If a new students starts in the School Day and Activity Club program in February, there will be an additional fee for the Mid-Winter break days.Total $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 2022.Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Cardholder Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Cardholder Email*Cardholder 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 or email. I agree that I am responsible for reading the newsletter or email 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 www.bellmontessori.com) -Emergency Response Plan -Pesticide Policy (in the Handbook) -Health Policy (in the Handbook) -Pet Policy (in the Handbook) - Covid-19 Addendum 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 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, unsafe air conditions, natural disaster, government mandated closure, or power outages are not made up.* 5. When 2 children from the same parents attend school at the same time, the lower tuition rate of the two children will be reduced by 3%. If the same parents have a third child in the same school year the two lesser tuitions will be reduced by 3%. These reductions will be taken on the final payment of the school year (April for new students or May for returning students). 6. Families who chose to pay the full tuition in one payment before school starts may reduce the annual payment by 3%. If a family that has paid the full tuition before school starts choses to withdraw their child prior to the end of the school year, the discounted amount of tuition remaining would be refunded minus any deposits at the full standard rate. 7. The total of all combinations of discounts can not exceed 6%. 8. Unless the total tuition is paid prior to the start of school, the annual tuition is due in ten equal installments. Payment of tuition may be made by preauthorized draft from your bank account or pre authorized payments by a credit card or by check. * 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 tuition payment for June 2022. * New Students also have a second payment due. Payment #2 is due May 1st or if enrolling after May 1st, thirty days after you submit the enrollment form, contract and deposit payment #1. This non-refundable deposit payment is your tuition payment for May 2022. * For later enrollments, both deposit payments are due prior to the start of the school year in September. * The remaining eight payments are due the first school day of the month from September through April, 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 prior to March first, and you have made 2 deposit payments; the May deposit payment may be credited to your child's last month of attendance. In order to be eligible to apply the May 2022 deposit to a student's last month of attendance prior to March 2022, we require written notification of 45 days prior to the student's last day of attendance. If your child is withdrawn after March 1st, the second deposit may only be used towards the May 2022 tuition. 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 May 2022 tuition deposit will be refunded. The June 2022 deposit is non-refundable. 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. 14 Change of schedule. Parents may extend their child’s schedule if space if available. Please contact the Campus Administrator by the 20th of the month prior to when you would like your child to start their new schedule (half day to school day, school day to adding Activity Club, etc.). If adding Activity Club to your child's schedule in January or February, there will be a partial fee added if you choose to have your child attend the Mid-Winter Break week (February President’s Holiday week). 15. Mid-year enrollment. Students that enroll after the school year has begun: The schedule for submitting the May deposit will be no later than 30 days after the June deposit. Tuition will only be owed for the months following the first day of attendance. The monthly tuition amount due is 1/10th of the full school year tuition amount. An additional amount of tuition may be due for Activity Club days if joining BMS with a full care schedule starting on January or February 1st. In this case, parents can choose whether they want their child to attend the Activity Club days and pay the additional fee. If starting mid-month, 50% of the tuition for that month will be due. Bellevue Montessori School does not prorate per day or week attended. 16. Drop in vouchers for attendance at AM Activity Club or PM Activity club are available at the front desk. Vouchers come in a book of five. Five AM Activity Club vouchers are $50.00 and five PM Activity Club vouchers are $150. Attendance is determined by the space available. Vouchers may not be used on days that school is closed, but care for those enrolled in the Activity Club Program is provided. Attendance on these days would by determined by space available. An additional fee would be charged for those who are contracted for half day or school day programs for attendance on these days. *I have read the above contract I understand and agree to all provisions.Parent #1/guardian Signature*Date Parent #2 /guardian SignatureDate Paid in Full with 3% discountYes, paid in fullNo, monthly payment This iframe contains the logic required to handle Ajax powered Gravity Forms.