NEW STUDENT Continuous Enrollment Contract- Beginning 2018-2019

Parents' Information
Student is living with:

Both parents Father Mother Joint Custody/ Split
Father's Name

First Name Last Name
Cell Phone

Area Code Phone Number
Home Phone Number

Area Code Phone Number
Employer
Work Phone

Area Code Phone Number
E-mail Address

Mailing Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Church
Pastor's Name
Mother's Name

First Name Last Name
Cell Phone

Area Code Phone Number
Home Phone Number

Area Code Phone Number
Employer
Work Phone

Area Code Phone Number
E-mail Address

Mailing Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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 assitance 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 with the application to complete your registration. This will be non-refundable, except for a few reasons approved by our school board. 1/3 will be due June 1st. The final payment will be due by August 1st. A $25 late fee will be added to any payment not received by the 15th of the month due.

Book Fees 2020/21

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

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