Student Enrollment Contract 2015-2016

Flint River Academy
11556 E. Highway 85
Woodbury, GA 30293
Phone (706) 553-2541
Fax: (706) 553-9777
Established 1967
Eddie Pollard, Head of School
www.flintriveracademy.com
Student Enrollment Contract 2015-2016
______________________________________________________________________________________________________________
(1) Student Name
Birth date
Grade Level 2015-2016
______________________________________________________________________________________________________________
(2) Student Name
Birth date
Grade Level 2015-2016
______________________________________________________________________________________________________________
(3) Student Name
Birth date
Grade Level 2015-2016
______________________________________________________________________________________________________________
(4) Student Name
Birth date
Grade Level 2015-2016
______________________________________________________________________________________________________________
Address
City
State
Zip
Tuition:
Payment Options*
Grade
Pre Kindergarten (3 and 4 Year old)
Kindergarten And First Grade
Second Grade through Sixth Grade
Seventh Grade through Twelfth Grade
Tuition (Amount Paid in Full
by 7/1/15)
$3,500.00
$4,900.00
$6,100.00
$6,700.00
10 Month
$385.00
$539.00
$671.00
$737.00
Quarterly
$962.50
$1,347.50
$1,677.50
$1,842.50
Semi Annual
$1,925.00
$2,695.00
$3,355.00
$3,685.00
*The monthly, quarterly or semi-annual payment option includes a 10% carrying charge added to tuition that will be equally divided over
the duration of the payment plan. There will be no reduction of the carrying charge for early payment of tuition OTHER than paying tuition
in full no later than July 1, 2015.
A non-refundable $300.00 Registration Fee per student must be included.
Contracts for students re-enrolling must be received in the school office by March 16, 2015.
Payments:
1. New Family Fee - $200 due at registration (if applicable)
2. Registration Fee - $300 per student due at registration
3. Testing Fee for new students - $50 due at time of testing
4. Payment options – PLEASE LIST STUDENT NUMBER FROM ABOVE:
Student Number
Payment Options
Full payment MUST BE PAID IN FULL BY JULY 1, 2015. NO EXCEPTIONS!
Ten monthly payments (July 1 through April 1). Must be paid through FACTS.
Quarterly payments (July 1, October 1, January 1, April 1). Must be paid through FACTS.
Semi- Annual payments (July 1 and January 1). Must be paid through FACTS.
*ALL families MUST have an account set up with FACTS before a student is considered enrolled. Registration fees and Full payment of
tuition may be made in the FRA finance office no later than July 1, 2015, but a FACTS account is still required before enrollment is
complete. Go online to www.online.factsmgt.com to register. Families with a FACTS account do not need to create a new account. There is
no annual FACTS service fee if paid in full by July 1, 2015, but FACTS charges a yearly service fee for all other payment options. Once an
account has been set up through FACTS Tuition Management, FACTS payment due dates may not be changed more than once a semester
and cannot be changed in consecutive months.
Finance Agreement:
The payment of all fees and tuition is a condition of enrollment. An account becomes past due 31 days after the payment date and the
following penalties will be enforced: The student cannot return to school and eligibility to participate in athletics and other extracurricular
activities will be suspended until the account is up to date.
Tuition Fundraising Agreement:
A fundraising fee is a portion of your student’s tuition and everyone MUST participate or pay the opt-out fee per student. The fundraising
fee or opt-out fee will be added to your child’s tuition. If you choose the fundraiser option, you must sell or purchase tickets equaling the
amounts listed below, or pay the opt-out fee in full at registration, in 10 monthly installments of $100 with tuition, or pay at the due date of
each fundraiser listed below:
FUNDRAISER DESCRIPTION
Fall Fundraiser – Gun Raffle
Winter Fundraiser – Truck
Spring Fundraiser – To Be Determined
Per Student OPT-OUT FEE
$250.00
$500.00
$250.00
Due Date of Opt-Out Fee/End of Fundraiser
September 4th / October 31st
November 6th/ January 28th
February 5th/ April 29th
□
Yes, I would like to participate in one or all of the fundraisers and agree to pay the opt-out fee or remit raised funds on the
applicable dates above!
□
I prefer to opt-out of all fundraisers now, and pay the opt-out fee in 10 equal monthly installments of $100.00 with tuition.
Bus Service:
Bus service is available at several central locations. Please contact the FRA office for bus pick-up locations. Transportation charges are
collected as one yearly payment made in FULL or billed monthly over ten months. Monthly payments must be made through FACTS.
PLEASE CHECK BOXES ACCORDINGLY
□ No Bus Needed
□ One payment due by July 1, 2015
□ One Student $1,050.00
□ Two or More students $1,350.00
□ Ten monthly payments beginning July 1, 2015 through April 1, 2015 paid via FACTS
□ One student $130.00 per month via FACTS
□ Two or More students $160.00 per month via FACTS
□ Occasional Bus Rider - $10 per way/per trip/per student
After School Care:
Flint River Academy offers After School Care for students in Pre-K through 6th grade until 6:00 p.m. only if five full time students
register. Charges are billed monthly and paid via FACTS. The fee for After School Care is $10.00 per day per student.
PLEASE CHECK BOXES ACCORDINGLY
□ No After School Care Needed
□ After School Care Needed for ________ student(s) (Please list the number of students)
Athletic and Academic Programs/Trips:
A student must be currently enrolled with Flint River Academy to participate in ANY FRA athletic or academic program or trip. This
includes but is not limited to all practices, scrimmages, games, competitions, camps, and field trips on or off campus. All financial
obligations (including, but not limited to tuition, fundraisers/opt-out, bus, class dues, and all fees) must be current.
Athletic Fees**
Sport
Varsity
Football
$200.00
Basketball
$200.00
Softball
$200.00
Baseball
$200.00
JV
$100.00
$100.00
$100.00
$100.00
Athletic Fees**
Sport
Varsity
Cheerleading
$100.00
Track
$75.00
Tennis
$50.00
Golf
$50.00
JV
$50.00
$75.00
$50.00
$50.00
**Athletic Fees offset a portion of the required expense to conduct these events. Examples include sports officials, EMTs, security officers,
and utilities, etc. Student related cost such as the purchase of uniforms, footwear, etc. is NOT included in the athletic fee.
Financial Commitment:
ALL financial accounts (including, but not limited to tuition/mandatory fundraisers, bus, class dues, and all fees) must be paid in full prior
to the beginning of the academic school year in order for the student to be enrolled in class. The School reserves the right to refuse
admittance to class or exams, withhold report cards and or transcripts, and refuse graduation and/or graduation activities for any student
whose financial account is not current. The School reserves the right to revoke any student’s enrollment contract and dismiss the student if
it is determined by the Head of School that FRA is unable to meet the needs of the student or if the student’s conduct or progress is
unsatisfactory. Accordingly, the school reserves the right to require drug testing.
Permission is granted for the above named student(s) to participate in all school activities and field trips during the 2015-2016 school year. I
understand and agree that FRA will in no way be held liable for any accident or injury from the student(s) participation in any activity or
field trip.
I understand that my obligation to pay the tuition, fundraising/opt-out fee(s) and registration fee for the full academic year is unconditional
and that no portion of such tuition so paid or outstanding will be refunded or cancelled after July 1, 2015. I, the parent/legal guardian, am
financially responsible for the above named student(s), have read and understand the above agreement, and will abide by the terms stated.
Further, the above named student(s) and I agree to abide by all rules and regulations stated in the Student Handbook and otherwise
implemented by the School. I acknowledge that there will be a $35 returned check fee for each occurrence and after two returned checks, I
must pay all school expenses with cash, money order, or cashier’s check.
Flint River Academy admits students of any race, color, religion, nationality, or ethnic origin to all the rights, privileges, programs and
activities generally accorded to or made available to students at the school.
______________________________________________________________________________________________________________
Responsible Parent/Guardian – Please Print
Responsible Parent/Guardian Signature
Date
______________________________________________________________________________________________________________
Address
City
State
Zip
Telephone (Home) (____) __________________
(Work) (___) _____________________
(Cell) (___) ________________________
Email (REQUIRED): _____________________________________________________________________________________
______________________________________________________________________________________________________________
Second Parent/Guardian – Please Print
Second Parent/Guardian Signature
Date
______________________________________________________________________________________________________________
Address
City
State
Zip
Telephone (Home) (____) __________________
(Work) (___) _____________________
(Cell) (___) ________________________
Email: _______________________________________________________________________________________________
__________________________________________________________
HEAD OF SCHOOL
Date
Flint River Academy
11556 East Hwy 85
Post Office Box 247
Woodbury, Georgia 30293
Phone: 706-553-2541 Fax: 706-553-9777
Financial Officer:_____________________________Date___________