ZION LUTHERAN SCHOOL 408 Jackson Street Marengo, Illinois fax

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1 February 1, 2017 Dear Parents, Enclosed with this letter you will find a registration form for the school year and an informational letter about fees for next year. Forms should be filled out, signed, and returned no later than Thursday, Feb. 16, along with the $50.00 registration fee deposit per child. After that date, new student applications will be accepted. (New students in grades K-8 will be required to pay the full year s registration fee upon approval by the Board of Christian Education.) The registration deposit is non-refundable and will be deducted from the fees shown on the payment table. ALL students who are new to Zion for the school year must provide their certified birth certificate to be copied by the school. HEALTH EXAM REQUIREMENTS: Physical Exam: Sports Physical: Dental Exam: Eye Exam: Preschool (unless a returning student with valid exam on file at school), Kindergarten, and 6 th grade exams are due at Zion by August registration. (Check with the school office or your doctor on forms). Required prior to participating in any practices or games in grades 5-8. If a regular physical is required by the state, it can be counted for this. (Note information above.) Kindergarten, 2 nd, and 6 th graders by May 15 th of the school year. Kindergarten students and students enrolling in a public or private school for the first time (excluding preschool students) will need an eye exam by October 15 th of the current year. Kindergarten is a full-day program at Zion. Information regarding the preschool programs are being sent out on a separate letter. September 1 st is the date for attaining the age required for Kindergarten (i.e. a child who has not reached the age of 5 by September 1 st will not be eligible for Kindergarten). Financial support for Zion School is provided in many ways: congregational support, registration fees, tuition, gifts, and fundraising activities. As you review your own personal stewardship during the year, please give as the Lord has blessed you. Please contact us if you have any questions about the payment table or methods. Zion s faculty and staff look forward to working with you and your child next year as we continue the challenge of Christian education in today s world. Together we will help your child grow spiritually, mentally, physically, and emotionally. Zion Lutheran School Marengo

2 February 1, 2017 Dear Zion Lutheran School Parents, It s time to register for the school year! We are already making preparations for a great new school year. We ve been blessed to provide Christian education for over 127 years in this community. Included in this packet are the enrollment application forms and important information concerning registration. Please complete all forms and return them to our school office by February 16, After February 16 th, open enrollment begins for new students. We look forward to partnering with you to provide your child(ren) a high quality Christian education. The Congregation of Zion Lutheran Church is committed to supporting the school by providing the financial means to offset the actual cost to educate each student. We recognize the importance of keeping the tuition affordable; however, there will be a slight tuition increase for the upcoming school year of approximately $3-$4 per child, per month. Tuition and basic registration fees for grades K-8 for the school year are shown on the Fee Table below. (Preschool information is included in a separate letter.) If your payment amount is not clear from the table, please contact us for assistance. Costs for student insurance, yearbooks, hymnals, Bibles, lunch, etc., are not included in these fees, and will be collected at registration. A $50.00 deposit per child is required in the spring from returning families, and the remaining registration/technology fees are to be paid in full at August registration. New students in grades K-8 must pay the full registration/technology fee when registering in the spring. These amounts will be deducted from the registration/technology fees collected in August. Registration fees are paid directly to the school, while tuition is paid thru the church office. Unfortunately, automatic bank withdrawal or credit cards cannot be used to pay registration fees. ALL PAST DUE FEES ARE TO BE PAID IN FULL BEFORE A STUDENT IS OFFICIALLY ENROLLED AND ACCEPTED FOR THE NEXT SCHOOL YEAR. You may discuss any concerns regarding this policy with Mrs. Smith. -MARENGO APPROVED FEE TABLE MEMBER OF ZION LUTHERAN CHURCH COMMUNITY MEMBER Tuition Registration/ Technology Fee Tuition (Preschool fees are being sent out with separate Preschool registration information.) Additional Optional Fees: Band: $120 year & Sports: $35/season Registration/ Technology Fee First Child $2225 $235 First Child $4050 $235 Second Child $1620 $235 Second Child $2400 $235 Third Child $1220 $235 Third Child $2160 $235 Fourth Child $350 $235 Fourth Child $1160 $235 NONDISCRIMINATORY POLICY Zion Lutheran School admits students of any race, color, national, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national, and ethnic origin in the administration of its educational policies, admissions policies, scholarship and loan programs, and athletic or any other school administered programs.

3 Student Registration Form Zion Lutheran school Student lives with: (check all that apply) Parents' Marital Status: (please check one) STUDENT NAME (Last, First, Middle) Both Parents Mother Father Stepmother Stepfather Other Married Divorced Separated Single Mother Deceased Father Deceased GENDER: Male Female ACADEMIC YR GRADE ENTERING ENTRY DATE Date of Birth: Birthplace Baptismal Date: Name of Church Where Baptized: Denomination: Present Church Affiliation (If Lutheran, What Synod?) City: State: PRIMARY RESIDENCE Check here if you do NOT want your contact information listed in the ZLS directory. (please print) PARENT: SPOUSE: SECONDARY RESIDENCE (if applicable) Check here if you do NOT want your contact information listed in the ZLS directory. (please print) PARENT: EMERGENCY INFORMATION - Responsible adult for emergency notification & transportation if parents are unreachable (please print) Name: Home # Cell # Work # Name: Home # Cell # Work # ETHNICITY Is this student Hispanic/Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race) Choose only one: No, Not Hispanic/Latino Yes, Hispanic/Latino RACE - What is the student's race? Choose one or more American Indian or Alaska Native Black or African American White Asian Native Hawaiian or Other Pacific Islander ADDITIONAL CHILDREN IN FAMILY FOR OFFICE USE ONLY: DATE REC'D: AMOUNT REC'D CHECK # Student Registration Form must be completed for each child registering for Zion Lutheran School. Zion Lutheran School

4 Tuition Payment Information Parent/Guardian Name: Address: City: State: Phone: Student Name Grade Tuition for the school year will be paid by: (check one) Option 1 Single Payment due on or before July 15, 2017 paid directly to Zion Lutheran Church via cash, personal check, Prairie ACH, or money order. Option 2 Two payment method. The first half of tuition will be due July 15, 2017; the second half by January 15, 2018 paid directly to Zion Lutheran Church via cash, personal check, Prairie ACH, or money order. Option 3 Monthly payment plans due on the 1 st or 15 th of the month beginning July 2017 through April 2018 paid directly to Zion Lutheran Church via Prairie ACH, or money order. I agree to make tuition payments for the school year according to one of the options indicated above. (Parent/Guardian Signature) (Date) Return to Finance Office by June 15, 2017 in the Church Office. Additional Fees Prairie Community Bank has no fees if using ACH Vanco charges are 0.38 per transaction and 2.65% credit card fee Vanco Bank Processed checks.20 per check Intuit bank processed check.50 per transaction. Intuit may not be available for all transaction

5 AUTHORIZATION FOR DIRECT PAYMENT VIA ACH (ACH DEBITS) Direct Payment via ACH is the transfer of funds from an account for the purpose of making a payment. I (we) authorize Zion Lutheran Church to electronically debit my (our) account (and, if necessary, to electronically credit my (our) account to correct erroneous debits) as follows: Checking Account / Savings Account (select one) at the depository financial institution named below ( DEPOSITORY ). I (we) agree that ACH transaction I (we) authorize comply with all applicable laws. Depository Name Routing (ABA) Number Account Number Amount of debit(s) or method of determining amount of debit(s): Single Payment of $ (debits on July 15, 2017) Two Payment Method of $ (debits on July 15, 2017 & January 15, 2018) Monthly Payment Plan of $ (10 monthly payments July 2017 April 2018) (Monthly Payment Plan please circle date of withdraw preferred) 1st of every month or 15th of every month I (we) understand that this authorization will remain in full force and effect until I (we) notify Zion Lutheran Church that I (we) wish to revoke this authorization. I (we) understand that Zion Lutheran Church requires at least 5 business days prior notice in order to cancel this authorization. Name(s) Date Signature(s) *Monthly Payment Plan consist of Ten Monthly Payments, beginning on July 2017 and ending on April 2018