AMERICAN ACADEMY ENROLLMENT FORM

Date:
Print Parent / Guardian Name

Address City , State Zip Code
Home Phone () Work Phone () E-Mail

1st Child’s Name Birth Date Grade Entering
Previous School School Phone
School Address City State Zip Code

2nd Child’s Name Birth Date Grade Entering
Previous School School Phone
School Address City State Zip Code

3rd Child’s Name Birth Date Grade Entering
Previous School School Phone
School Address City State Zip Code

4th Child’s Name Birth Date Grade Entering
Previous School School Phone
School Address City State Zip Code

FINANCIAL INFORMATION
(all charges are non-refundable)
Enrollment Fee ($50.00) Per Family ...................................$50.00
Diagnostic Testing (Per Child) .............................................$20.00
Total Enrollment Charges to be paid with Application .................$_______________
Registration and Testing Fees must accompany application along with immunization records.

AMERICAN ACADEMY TUITION PROGRAM

PRESCHOOL AND KINDERGARTEN
$50.00 Per Child for 9 payments
First Grade Non-Reader $78.90 for 9 payments

GRADES FIRST THROUGH EIGHTH
1st Child.... $72.65 for 9 payments
2nd Child....$67.65 for 9 payments
3rd Child….$52.65 for 9 payments
4th Child....$45.65 for 9 payments

GRADES NINE THROUGH TWELVE
1st Child.....$89.63 for 9 payments
2nd Child....$83.63 for 9 payments
3rd Child.....$65.63 for 9 payments
4th Child.....$57.23 for 9 payments

(Select oldest student and go to youngest student.)
Total Family Monthly Tuition Payment $________________
The first payment is due with the return of the completed diagnostic testing.
The first quarter’s curriculum will be sent with the first payment of tuition.
One school year’s cost of home schooling consists of 9 tuition payments per child.
With this enrollment I agree that I am responsible for the payment of all charges for this account.
I agree that I am financially obligated for each quarter of tuition of curriculum received.