NEW STUDENT Continuous Enrollment Contract- 2020 - 2021

Parents' Information
Student is living with:

Both parentsFatherMotherOther
Father's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Employer
Work Phone

Area CodePhone Number
E-mail Address
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Church
Pastor's Name
Mother's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Employer
Work Phone

Area CodePhone Number
E-mail Address
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Church
Pastor's Name

Additional Information
Public School District Student Resides In
*You may be eligible for busing reimbursement
Write a brief statement of your Christian testimony (Father)*
Write a brief statement of your Christian testimony (Mother)*
How did you hear about MZCS?
Why are you seeking a Christian education for your child (ren)?
Do you have any other children living in the household?
List names and ages of other children

Medical and Emergency Information
Emergency Contact
Name, Phone number, Relationship to student
Child's Physician's Name
Physician's Phone Number
Medical Insurance Information
Company name, phone number, 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 determined. 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)

Book 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. (If registration occurs after August 1st, the full book fee is due before beginning classes) A $25 late fee will be added to any payment not received by the 15th of the month due.

Book Fees 2019/2020

Total fee	1/3 Down payment
Kindergarten $216	$72
1st-6th Grades $315	$117
7th -8th Grades $390	$130

Payment Method for Book Fee:*

Automatic WithdrawalMail a CheckIn-person at school
Should be Empty: