Fillable Extended Day Program Enrollment Contract 2021-/22

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Extended Day Program Enrollment Contract 2021-/22

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Extended Day Program Enrollment Contract 2021-/22
GRADES Ages 6 to 12
_____________________________________________________________________________
THIS IS A LEGALLY BINDING DOCUMENT; PLEASE READ IT CAREFULLY.
PLEASE COMPLETE AND RETURN THIS ENROLLMENT CONTRACT TO THE SCHOOL OFFICE.
Student ____________________________________ Start Date__________________Grade Entering ________
In consideration of enrollment of the above named student at Mālamalama Waldorf School (MWS), I/We the
Undersigned, jointly and severally, agree to all of the terms and conditions outlined in the Enrollment
Contract. We agree to pay the tuition and fees as outlined below. We further agree to abide by the Terms
and Conditions as set forth in this contract. Students 13+ years of age may enroll in aftercare but cannot
attend until the After School Leadership Program form is completed.
________________________________________________ ___________________________________________________
Signature
Date
Signature
Date
_________________________________________________ ____________________________________________________
Print Name Print Name
_________________________________________________ ____________________________________________________
Mailing Address Mailing Address
_________________________________________________ ____________________________________________________
City State Zip code City State Zip code
_________________________________________________ ____________________________________________________
Primary Telephone Primary Telephone
_________________________________________________ ____________________________________________________
Email address Email address
Enrolling: _____ Monthly $187/mo (first priority) -OR- _____ Hourly $7/hr (when available)
_____Mondays _____Tuesdays _____Wednesdays _____Thursdays ______Fridays
..................................................................................................................................................................................................................................................................................................................
I am receiving the following childcare subsidy, and will provide proof of approved subsidy amount to the MWS Business Office Manager.
I understand that in the event of loss/reduction of said child care subsidy I am responsible for all tuition and fees due to Mālamalama
Waldorf School in accordance with the Terms and Conditions of this contract: _____ Childcare Connection _____First-to-Work
................................................................................................................................................................................................................................................................................................................
________
(initial here
) EDP Late Pick-up Fees A $1.00 per minute late pick-up fee is charged for every minute that the child is
picked up late from aftercare.
________
(initial here
) All EDP charges will be paid through FACTS Tuition Management Company -
https://online.factsmgt.com/signin/4bp2f
GRADES EDP Withdrawal Policy (A Student Withdrawal Form is due 30 days prior to withdrawal date.)
If a student leaves Mālamalama Waldorf School for any reason after a Tuition Contract has been signed, including
but not limited to illness, withdrawal or dismissal, the undersigned party is responsible for tuition determined as
follows:
Mālamalama Waldorf School Grades Extended Day Program Form 2021/22 (MWS Students) Page 1 of 2
• Student is not officially withdrawn until a withdrawal form is received in the office. Families are
required to submit a withdrawal form 30 days prior to withdrawal date. If the withdrawal form is
received less than 30 days prior to the desired withdrawal date family will be responsible for
tuition payments for the full 30 days from the date the form was received in the office.
• If the desired end date is on or before the 15
th
of the following month the family is financially
obligated to pay the pro-rated daily amount.
• If the desired end date is after the 15
th
of the following month the family is financially obligated
to pay the full following month’s tuition.
• If the school asks that the child be dismissed, the family is obligated to pay tuition for the time
that the child was enrolled in school up until official dismissal date is determined by the school.
• Once a child has withdrawn from the school and would like to re-enroll, the family will be
required to pay any unpaid previous balances.
________ (initial here)
I have read and understand the withdrawal and late pick-up Policies of Mālamalama Waldorf School .
..................................................................................................................................................................................................................................................................
I hereby give my child permission to attend and participate in the activities conducted by the Mālamalama EDP Program. I have
received, reviewed, and understand the EDP Program Brochure/Information sheet, which includes the Discipline Guidelines/Code of
Conduct; and hereby agree to abide by all rules and requirements theretofore.
Parent/Guardian Signature: __________________________________________________ Date: ____________________
Parent/Guardian Signature: ___________________________________________________ Date: ____________________
Mālamalama Waldorf School is a non-profit 501(c)(3) and admits students of any race, color, national and ethnic origin, religion, disability status, or
family status to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on
the basis of race, color, national and ethnic origin, religion, disability status, or family status in administration of its educational policies, admission
policies, scholarship and tuition aid programs, athletic, and other school-administered programs. While Mālamalama Waldorf School is open to students
with all types of learning styles, there are no formal special education services and therefore the school may not be able to meet the learning needs of all
students.
Mālamalama Waldorf School Grades Extended Day Program Form 2021/22 (MWS Students) Page 2 of 2
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Extended Day Program Enrollment Contract 2021-22

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Completed 23 June 2021

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