Our Savior School Re-Enrollment Form

Please fill in all fields that apply:

First Student’s Name

First Student’s Grade Next Year

Second Student’s Name

Second Student’s Grade Next Year

Third Student’s Name

Third Student’s Grade Next Year

Brothers & Sisters Name (if not listed above)

Name

Grade

Name

Grade

I understand that an Enrollment Fee is due when this form is processed and is only refundable if my child is not accepted for enrollment at Our Savior School. I also understand that if accepted, the Enrollment Fee insures a place in Our Savior School and will be applied to tuition.

The completion of this Re-Enrollment form and the signature of the parent or guardian constitute an agreement that any tuition or fees pertaining to this student’s enrollment at Our Savior School will be paid by the parent or guardian and will be paid according to the following schedule:

Please choose a payment schedule:

Annually (Cash or Check by August 15)Semi-Annually (Cash or Check twice a year – August 15 and January 15)Monthly (10 monthly automatic withdrawal payments beginning August 15)

The enrollment fee is $150 per student if paid by 4/17 and applied to tuition
or $250 per student if paid after 4/17.

Enrollment Fee

Parent/Guardian Name

Parent/Guardian Signature (Just Initial Here)

Date