May 2011 Dear Parents: It is hard to believe that this school year is ...

Elementary School
Middle School
3435 Oak Street 3925 Van Buren Street
Hudsonville MI 49426 Hudsonville MI 49426
(616) 669-6689 Fax (616) 669-7491 (616) 669-7487 Fax (616) 669-2031
2011-2012 Enrollment Form
Account # ___________________
Name _________________________________________________________________ Home Phone ______________________________
Last Father Mother
Address ________________________________________________________________________________________________________
Street City ZIP
Email address:__________________________________________ Church affiliation ____________________________________________
Student’s Name
Birthdate
Mo/Day/Year
Sex
M/F
Grade
2011-2012
Authorization to use
student photo (initial please)
REQUIRED
DUE AT
ACTUAL COST TUITION ENROLLMENT
Pre-K ............................................................................ $ 3,250 ............................... $ 3,200.............................................. $160
Kindergarten (3 day / AM every day) .................... $3,900 ............................... $ 3,800.............................................. $190
Kindergarten (5 day) .................................................. $6,500 ............................... $ 4,800.............................................. $240
1 enrolled in grades 1-8 ............................................ $6,500 ............................... $ 6,060.............................................. $300
2 enrolled in grades 1-8 ......................................... $13,000 ............................. $10,230.............................................. $510
3 enrolled in grades K-8 ......................................... $19,500 .............................. $13,660.............................................. $685
4 or more enrolled in grades Pre-K – 8 ............ $26,000 .............................. $16,250.............................................. $815
FINANCIAL COMMITMENT
Prior year‟s balance (as of 5/1/11) ........................... _______________
PAYMENT SCHEDULE
I understand I must choose one of the following tuition
2011-2012 Tuition ........................................................ _______________ payment plans with payments beginning August 10, 2011.
* Supporting church credit $500/family .................. _______________ Weekly: $________ by 44 weeks…..$ ___________/wk
TOTAL TUITION ........................................................ _______________
Less $ paid at enrollment ...................................... _______________
Less Preschool Grant ............................................. _______________
Monthly: $________ by 10 months.…$ ___________/mo
Monthly payments are due by the 10 th of each month
Quarterly: $________ by 4 qtrs……..$___________/qtr
Less Tuition Assistance .......................................... _______________ Quarterly payments are due by 8-10-11, 11-10-11, 2-10-12, 5-10-12
Less Enrollment Grant ........................................... _______________ I wish to use electronic funds transfer (complete form)
TOTAL DUE .................................................................. _______________ CEF _________________________________________
* Deduct $500 if you are a member of one of these supporting churches: Church name
Bauer CRC, Forest Grove CRC, Georgetown CRC, Hillcrest CRC, Zutphen CRC
1 st Hudsonville CRC, Immanuel CRC, Jamestown CRC, or Messiah CRC
AFFIRMING STATEMENTS
I affirm that Christian education is a means God uses in the development of our children to help them achieve their main calling in life – to glorify God. I affirm that young
persons are Biblically nurtured and supported through their Christian day schooling, supporting the values of home and church. I affirm that, with the Holy Spirit‟s guidance in
students‟ lives, the Christian school community offers opportunities and fosters the responsibility to exercise discernment. I affirm that I will support Hudsonville Christian
School, its staff and its students, with my prayers and I will support it financially as prescribed by the enrollment form.
AGREEMENT
1. I have read and am in full agreement with the Affirming Statements
2. We promise to pay our tuition as stated in the payment schedule above. (If you are part of a church CEF, then the church is obligated to complete the tuition payment.)
__________________________________________________
Father‟s signature
________________________________________________
Board member‟s signature
DRAFT 05/04/11