Continuous Enrollment Contract- Beginning 2020 -2021

Continuous Enrollment Contract for Current Students Beginning 2020 - 2021

By filling out and signing this form, you are agreeing to enroll the following students in MZCS each year unless YOU begin the OPT-OUT process for the following year. 1/3 of the book payment will be due by April 1st as your down payment.
Student's Name *

First Name Middle Initial Last Name
Birth Date *

Month Day Year
Gender *

Male Female
Grade Entering in Fall *
Kindergarten- 8th Grades
2nd Student Name

First Name Middle Initial Last Name
Birth Date

Month Day Year
Gender

Male Female
Grade Entering in Fall
Kindergarten- 8th Grades
3rd Student Name

First Name Middle Initial Last Name
Birth Date

Month Day Year
Gender

Male Female
Grade Entering in Fall
Kindergarten- 8th Grades
4th Student Name

First Name Middle Initial Last Name
Birth Date

Month Day Year
Gender

Male Female
Grade Entering in Fall
Kindergarten- 8th Grades

Mailing Address

Mailing Address

Additional Information
Public School District Student Resides In
*You may be eligible for busing reimbursement
Emergency Contact
Name, Phone number, Relationship to student
Child's Physician's Name and Phone Number
Medical Insurance Information
Company Name, Phone #, Group ID #, Policy #
Children's Allergies we should be aware of
Any Prescribed Medications taken on a regular basis we should be aware of

Payment Information

Tuition plans will be confirmed over the summer. All financial assistance requests MUST be submitted before any aid will be determinded. CFS applications are available on www.mtzionschool.com/registration
Please Select a Tuition Payment Plan *

11 Month Plan (August - June) Automatic Withdrawal (11 month plan) Pay in Full (by August 1st)

Application Fee

1/3 of the book fee per student is required to complete your continuous enrollment application. This will be non-refundable, except for a few reasons approved by our school board. The 2nd payment will be due June 1st. The 3rd payment is due August 1st. A $25 late fee will be added to any payment not received by the 15th of the month due.

Book Fees 2020/2021

Payment Method for Book Fees: *

Automatic Withdrawal Mail a Check In-person at school
Should be Empty:

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Continuous Enrollment Contract for Current Students Beginning 2020 - 2021