Welcome to Cardinal School!

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1 Welcome to Cardinal School! Thank you for choosing the Cardinal School to meet your child s educational needs. We strive to provide the educational environment necessary to prepare each child for higher learning and social contributions, enabling students to reach their full potential by individualized curriculum and teaching strategy. We believe that all children are exceptional and that all their needs can be met. Our school is dedicated to helping children not only with exceptional needs but the gifted child as well. In this folder, you will find all the necessary paperwork needed to enroll your child in the Cardinal School. Please make sure that you thoroughly read and fill out all the paperwork. Look over the Parent Handbook, sign and return the last page with all your paperwork. Please keep the handbook for your records, or for future reference. Your child will not be able to start until we receive the completed paperwork and a $150 registration fee. Monthly tuition is due by your child s 1st day of attendance at the school, and will be due the first Monday of every month thereafter. Below you will find a checklist of all the items you will need to enroll your child into the Cardinal School. Please make sure that all the items are checked off Enrollment Form & Registration Fee (checks can be made out to Cardinal School, Inc.) Church School Enrollment Form Tuition & Fee Schedule Enrollment Contract Copy of Birth Certificate Immunization Records or Waivers Photography, Videotape, Audiotape and Observation Release Form Technology and Software Use Form Student Pick-Up Authorization Form Parent-Student Handbook Signature Page If you have any questions, concerns, or would like to meet in person, please feel free to contact the school by calling (256) or sending to We are looking forward to a happy and productive school year!

2 Student Information Enrollment Form Last Name First Name Middle Initial Common/Nickname Date of Birth Grade Last school attended Family Information Child Lives with: Mother Father Both Other (Specify): Please provide documentation of custodial agreement, if applicable. Mother s Name: Address: Home Phone: Cell Phone: Employer: Address: Work Phone: Siblings and their ages: Father s Name: Address: Home Phone: Cell Phone: Employer: Address: Work Phone:

3 Medical Information Please list all allergies, medicines, special medical or dietary needs, or other areas of concern: I hereby grant permission for the staff of the Cardinal School to contact the following medical personnel to obtain emergency medical care if warranted: Doctor/Dentist/Hospital Address Phone Conditions for Registration Please Read Carefully If you wish to reserve a spot for your child(ren), the following information and conditions are provided for your understanding of the process and procedures: 1. The application must be submitted with a $150 non-refundable fee for each child. Individual records on each child and all requested information shall be on file at the school on the student s first day of attendance. 2. Should we be unable to place your child(ren) within 90 days, your registration fee(s) can be refunded if requested in writing. 3. Please make all checks payable to Cardinal School, Inc. 4. On the student s first day of attendance, each child must have a valid State of Alabama Certificate of Immunizations on file, or a valid Alabama Certificate of Religious Exemption. 5. A parent handbook with policies and procedures will be made available for our families. 6. Registrations are considered incomplete if any of the above conditions are not met. Confidential information or discussions about children and their families shall not be used or disclosed for any purpose not directly related to the well-being of the child. Record will be accessible only to authorized persons. This initial information is provided in the spirit of fostering honesty and integrity, two of our core values. Healthy communication facilitates healthy relationships. Because we wish to establish and maintain healthy relationships with all of our students and families; open and honest communication will always be our goal. These standards are established to provide the best care for your child. Signature of Parent/Guardian Date ENROLLMENT FORM Page 2 of 2

4 Church School Enrollment Form TO BE COMPLETED BY PARENT OR GUARDIAN Student s Name: Street or Mailing Address: City/State/Zip: Phone: Date of Birth: Grade: Parent/Guardian s Name: Address (if different): Phone (if different): Current School Enrolled In: Consent for Notification of Student Withdrawal: I hereby give prior consent to the administrator of the church school to notify the public school superintendent should the above-named student cease attendance at said school. Signature of Parent/Guardian: Date: TO BE COMPLETED BY CHURCH SCHOOL ADMINSTRATION The Cardinal School, Inc. a homeschool ministry of The Church of Our Daily Bread Address: 100 Spenryn Dr. Madison, AL School Phone: Date of Student Enrollment: School Year: Signature of Administrator: Date:

5 Tuition & Fee Schedule * Student s Name: Start Date: Please check all that apply: Registration Fee (non-refundable) $ Due with enrollment paperwork K-8 Monthly Tuition Option $ Due by the 1 st of every Month K-8 Bi-Monthly Tuition Option $ Due by the 1 st and 15 th of every Month K-8 Weekly Tuition Option $ Due Monday of every Week Early Learning Full Time Weekly $ Due Monday of every Week Early Learning Part Time Weekly $ Due Monday of every Week Payment Options: Cash Check Charge I understand that by signing this fee schedule, that I accept the terms and conditions of this contract. Failure to pay my tuition on time could result in late fees or my child being removed from the Cardinal School, Inc. until my balance is paid. Parent/Guardian s Printed Name: Signature of Parent/Guardian: Date: Administrative Use Only Account received: Initial Payment Received: Classroom Assignment: Signature of School Representative: Date: * For tuition rates regarding placement from public school systems, please contact Cardinal School Administrators.

6 Cardholder Name: Credit Card Processing Request Form Card Type (please circle one): VISA MASTERCARD DISCOVER AMERICAN EXPRESS When would you like us to charge this card? Weekly Amount $ Monthly Amount $ Upon Request. Amount to process this request for $ Cardholder Account Number: Card Expiration Date (mm/yyyy): / CVVS/CVC2/CID Number: Cardholders Billing Address: Street Address City State Zip Code Cardholders Telephone Number: Date for Recurring to Begin: Any Special Instructions: Cardholders Signature Date

7 Enrollment Contract All parents, guardians, and other persons responsible or payments should read all the provisions of this Contract, complete the required information, sign and return to the Admission Office accompanied by a non-refundable registration deposit of $ A student is accepted for enrollment or re-enrollment when the Contract has been delivered to Cardinal School, Inc., countersigned and dated. A copy of the accepted Contract will be returned prior to the start of school year. No amendment to this Contract and no alteration or addition to the printed terms hereof will be effective without the express prior written approval of the Cardinal School Board. Student s Name Grade to Enter: Date to Enter: In consideration of the acceptance of the Contract by the School, the undersigned agrees to pay the required TOTAL TUITION for the full academic year and any additional fees incurred and agrees to be bound by the provisions of this Contract. So long as tuition and fee payments are not delinquent, and monthly tuition payments are due no later than the 5 th of each month. Enrollment and re-enrollment is conditioned upon the following terms (please initial each condition once read and understood): Successful completion of the current academic year and recommendation of the school is required for re-enrollment of currently enrolled staff. A non-refundable registration fee of $ must accompany the contract. This fee will be applied to curriculum costs. Tuition payments must be received by the school on or before each due date. Tuition for students entering the school is a yearly cost regardless of total days attended by the student. In view of your obligation to pay monthly or weekly rather than annual tuition, there are no refund plans, should a student withdraw from the school at any time. The fee obligation remains the same for the month or partial month of attendance. I understand that no refund or cancellation of tuition or fees will be made by Cardinal School, Inc. for absence, withdrawal or expulsion/dismissal before the end of the school year and agree to assume full responsibility for tuition and all related fees. Acceptance of enrollment constitutes an agreement to pay the full account, comprised of both tuition and all related fees and expenses of the student. Cardinal School, Inc. is entitled to be reimbursed for any attorney s fees and costs incurred in the collection of any unpaid balance The student and the student s family agree to comply with and be subject to Cardinal School, Inc. s rules and policies as set forth in the Parent-Student Handbook, as amended from time to time An account is considered delinquent if not paid within 5 business days of the due date. A late payment fee of $25 per month will be charged for each late payment on a delinquent account. Whenever a tuition or fee account becomes past due for a period of 90 days from its due date then, unless the school shall obtain adequate security acceptable to Cardinal School, Inc. for such account with that 90-day period, the student will be withheld from classes until the delinquency is cured. If the delinquency is not cured within an additional 30-day period, the student will be dismissed. In all events, the registration fee and first tuition payment must be paid on or before the first day of school or the students place will not be reserved. Transcripts will be held for students until all unpaid tuition and fees are received. Both parents/guardians (if applicable) and person responsible for payment must sign this contract. Printed Name: Date: Signature: Printed Name: Date: Signature: Printed Name: Date: Signature: Printed Name: Date: Signature: Accepted: Name: Signature: Title: Date:

8 Photography, Videotape, Audiotape and Observation Release Form I, understand that the faculty, staff and (Parent/Guardian s Name) students of the Cardinal School, Inc. will be taking digital images, photographs, and/or video tapes for decoration (ex: posting pictures on bulletin boards, on cubbies and lockers, etc.) and/or security. I understand that parents are also allowed to come in the school and observe, photograph, video tape and/or audio tape children. I hereby consent that all digital images, photographs, videos, or other images taken of my child, and/or recordings of his/her voice made by (Student s Name) the Cardinal School students and staff may be used with and/or others with consent, for education, decoration, illustration, advertising, publication, or security purposes in any manner. I also understand that since my child is (Student s Name) enrolled at the Cardinal School, which is a homeschool program, he/she may be observed, videotaped, recorded, digitally imaged, or photographed by the Cardinal School. faculty, staff and students to use in classroom assignments only. This will be supervised by the teachers and staff at the Cardinal School. No student will be observed, videotaped, recorded, or photographed without supervision of a teacher and the authorization of the administration of the Cardinal School. Yes, I agree to the above terms No, I do not agree with the above terms Signature of Parent/Guardian Date

9 Technology and Software Use Form Cardinal School s goal in providing access to Internet and Electronics is to provide: 1. A rich and interesting educational experience, 2. The knowledge and skills of how to use many different types of electronics, and 3. Generalized knowledge learned in a one on one setting to self-guided activities. As a condition of using Cardinal School s computers, tablets, internet, and/or other technology and software (this includes items supplied by staff), I have read and agreed to Section 9 of the Parent Handbook, Technology Expectations and Code of Conduct. I understand that any violation of these rules may result in additional expenses and/or the revocation of my child s use of these items at school. I fully understand these rules and will help my child abide by them. Student s Name: Parent/Guardian s Name: Signature of Parent/Guardian: Date: Signature of Administrator: Date:

10 Student Pick-Up Authorization Form Student s Name: Main pick-up person: Name: Address Relationship: Phone: Additional persons who may pick up child/children on a less frequent basis: Name: Address Relationship: Phone: Name: Address Relationship: Phone: Person(s) NOT authorized to pick up child/children: Please Note: Any person unfamiliar to staff will be required to show proof of identification. Under NO circumstances will the child be released to anyone other than those listed above without WRITTEN permission from the parent/guardian.

11 Medication Authorization Form It is absolutely necessary for my child to be given medication while at school. Please give my child the following medication at the time(s) and in the amount(s) indicated. I understand that any prescription drug or over-the-counter drug sent to the school must be in its original container and must be clearly labeled with my child s name, the name of the drug, and directions for administering the drug. I also understand that a new form must be submitted for each week in order for the medication to be administered while at the school. Student s Name: Prescription Number: Name of Medication: Amount of Medication (to be given or applied) / Dosage: Instructions (how to give or apply): Time of Last Dosage (given at home): Time(s) of Dosage(s) (to be given or applied at school): Parent/Guardian s Name: Signature of Parent/Guardian: Date: Signature of School Representative: Date:

12 To be completed by Faculty or Staff: Date Medication Given Time Medication Given Signature of Person Administering

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