k-6th Registration Form

TRINITY LUTHERAN CLASSICAL SCHOOL
(Established August 2008)
(406) 234-4983
221 S. CENTER AVE., MILES CITY, MT 59301
2016-2017
K – 6th Enrollment Form

(This form must be completed each school year – Please use black or blue ink.)

CHILD'S FULL NAME ____________________________________________________________                 GENDER (Circle One)      MALE      FEMALE

BIRTHDATE  _______________________________                  CURRENT AGE: _____ YRS  _____ MOS                       GRADE (2016-17)___________

  • MOTHER/GUARDIAN _______________________________________                   MAIDEN NAME __________________________________________

    STREET ADDRESS _________________________________________________________            HOME PHONE _________________________________

    EMAIL ADDRESS ___________________________________________________________           MOBILE PHONE _______________________________

    MAILING ADDRESS (If different from above) _____________________________________________________________________________________

    WORK/BUSINESS EMPLOYER NAME ____________________________________________         WORK PHONE __________________________

  • FATHER/GUARDIAN __________________________________________________________________________________

    STREET ADDRESS ____________________________________________________________________________      HOME PHONE __________________

    EMAIL ADDRESS ___________________________________                           MOBILE PHONE  _______________________________

    MAILING ADDRESS (If different from above) ______________________________________________________________________________________

    WORK/BUSINESS EMPLOYER NAME _______________________________________________    WORK PHONE  __________________________

    If the parent is separated from his/her spouse, please indicate if the other parent has permission to have contact with the child while at Trinity Lutheran Classical School:     YES _______     NO ________

  • GUARDIAN'S RELATIONSHIP TO CHILD __________________________________________________________________

    DAYCARE PROVIDER (if applicable) __________________________________________________________________________

    DAYCARE ADDRESS & PHONE _____________________________________________________________________________

  • OTHER CHILDREN LIVING AT HOME:

                    NAME _____________________________                BIRTHDAY ____________________         RELATIONSHIP _________________________

                    NAME _____________________________                BIRTHDAY ____________________         RELATIONSHIP _________________________

                    NAME _____________________________                BIRTHDAY ____________________         RELATIONSHIP _________________________

    ETHNIC ORIGIN (Information for government reporting only) CAUCASIAN _________    AMERICAN INDIAN ____________

    ASIAN ________                   HISPANIC __________  AFRICAN AMERICAN __________                  OTHER __________________________

    Church your family attends (if any) ______________________________________________________________________________________________

    Is the student Baptized?     YES _______       NO ________

    Are you interested in having your child attend Sunday School at Trinity?    YES _______  NO _______

  • Parents, please inform the school of any future address or phone number changes.

           
       
     
         

TUITION AND FEES:    (Payment Options)          Annual        Monthly @ 9     Monthly @ 10                 Total Fees Due at Registration

Non-Refundable Registration fee  (per child)       $150.00               -0-                       - 0 -                Registration fee          $      150.00

Grades K to 6              (1st child*)                        $2,880.00          $320.00              $288.00             Base Tuition                $ _________

Grades K to 6              (2nd child*)                       $2,160.00           $240.00              $216.00           * PAYING AT  ______   MONTH RATE

Grades K to 6              (3rd child*)                       $1,440.00           $160.00              $144.00                 Less: Discount           - ($ _________)

(Returning student discount of 5% off base tuition will be applied for students coming from TLCS Preschool to K  and  for K-6 returnees.)                   Less: Discount             - ($ _________)

(*The eldest child in the family shall be considered the “First Child” and discount will be applied to the YOUNGEST siblings' tuition.)                  Less: Scholarship       - ($ _________)            

(LCMS member family discount of 15 percent may be applied to ELDEST child's tuition.   See Tuition and Discounts Rate Sheet.)                           Total due monthly      $ _________

All monthly tuition is to be paid one full month in Advance of the month it covers.  You may pay your child’s first month of tuition at the time of registration.  Payment for Sept. is due on Aug. 1st.   Payment for Oct. is due on Sept. 1st.   If payment for Sept. has not been  made by Sept. 1st, you are not to send your child in Sept. until it  has been paid, etc.   (See policy in Parent Handbook.)                        (Please see Land’s End Catalog Sizing Guide)         

      * SHIRT SIZE                 __________

 

______________________________________________________________           _________________________________________

Parent/Guardian signature                                                                                       Date

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