TRINITY LUTHERAN CLASSICAL SCHOOL
(Established August 2008)
(406) 234-4983
221 S. CENTER AVE., MILES CITY, MT 59301
2018-2019
K – 8th Registration 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 (2018-19)___________
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 8 (1st child*) $2,880.00 $320.00 $288.00 Base Tuition $ _________
Grades K to 8 (2nd child*) $2,160.00 $240.00 $216.00
Grades K to 8 (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-7 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