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Heritage Christian School of Canton Ohio
Be Ye Transformed by the Renewing of your Mind
Re-enrollment - Section 1
Re-enroll by Monday, May 3rd, 2010 to receive "Early Bird - VIP" incentive.
This form is for RE-ENROLLMENT. If you wish to enroll for the first time, please click enrollment on the main menu, or contact the main office at (330) 452-8271.
Parent Name
Address
City
State
Zip
Home Phone
Email Address
Father's Employer
Father's Employer Phone
Father's Cell Phone
Mother's Employer
Mother's Employer Phone
Mother's Cell Phone
Emergency Names/Numbers/Relationship to Student
Church Family Attends
Church Address
Pastor
Youth Pastor
Section 2
Will the student be using public school transportation if available?
Yes
No
Please select the student's public school district
Choose Option
Akron
Alliance
Brown Local
Canton City
Canton Local
Carrollton Exempted Village
Fairless Local
Green Local
Indian Valley
Jackson Local
Lake Local
Louisville
Manchester
Marlington
Massillon
North Canton
Northwest
Osnaburg Local
Perry Local
Plain Township
Sandy Valley
Tusky Valley
Tuslaw
Waterloo Local
Will K-5 student be using before/after school Extended Day Program (Super Room) New forms must be filled out every year. Pick up forms in Main Office
Yes
No
I give my full consent to HCS to publish and copyright all photographs in which my child(ren) appear(s): (yearbook, newsletters, website, newspaper articles, promotional materials, etc.)
Yes
No
I give my full consent for my child to go on school-sponsored field trips.
Yes
No
List names of all children re-enrolling for 2010-2011 & the grade they are entering:
Section 3
Families that pay the year's tuition in full by Thursday, July 15, 2010 will receive a 3% discount. Prepayments are made in the HCS Main Office.
Tuition Payment Options
Prepaid
Automatic Withdrawal
Invoicing
Annual Set-up Fees: $45 for a Monthly Invoicing Agreement or $38 for Automatic Withdrawal. Families currently using Automatic Withdrawal or Invoicing Agreements will be automatically re-enrolled in FACTS. Please contact the HCS Tuition Office if bank or payer information has changed. Those families choosing Invoicing agreement will have a payment date of the 1st of each month.
Automatic Withdrawal
On the 5th of the month
On the 20th of the month
Payment Frequency
One Payment - due July 15
12 Months - due July thru June
11 Months - due Aug. thru June
10 Months - due Sep. Thru June
4 Months - due Aug Nov Feb & May
Name of person who will be responsible to pay tuition
Is/Are your student(s) renewing an Ohio EdChoice Scholarship?
Yes
No
If yes, a renewal form must be submitted to Heritage along with proof of your current address. (For those families, the necessary renewal form is available in the Main Office and is also available online at www.edchoice.ohio.gov.)
Section 4
Fundraising Requirement
Please add $300 per student to my tuition, as I wish to opt out of participating in the fundraisers.
Yes
No
Yes, I will cover the $300 per student shortfall by actively participating in any or all school-wide fundraisers: the Heritage Hike/Bowl-a-thon, the Jubilee Card Sale, the Candy Sale and/or giving to the Annual Fund. (TRIP credits may be used for fundraising obligations.) Families are responsible for this amount before final report cards will be released.
Yes
No
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