Re—Enrollment Application for 2015/16 Pastor Jeremy May 580 - 762 - 1111
First Lutheran Church & School
Principal David Birnbaum
1104 N. 4th St—Ponca City, OK 74601
580 - 762 - 9950 School Fax 580-762-4243
“Grow at First” www.flcspc.com
www.flspc.org
Please complete the following information.
lutheransecretary@yahoo.com Student Name:
□ Check if new address or cell number
Student Name:
Parent / Guardian Name: __________________________
Student Name:
Address: _______________________________________
Student Name:
City/State/Zip ___________________________________
Student Name:
Cell #: ________________________________________ Pre-School 3 year olds Space is limited. ____8:20-11:15 (Monday/Wednesday/Friday) ____8:20-11:15 (Tuesday and Thursday) ____8:20-11:15 (Five Mornings a Week) ____8:20-3:15 (Five School Days a Week) Child’s Name: _____________________
Pre-Kindergarten has the option of Full Day (age 4 by 9/1/15) or Half Day programs. Space is limited. Full-Day ____ 8:20-3:20 Half-Day ____8:20-11:15 (Mornings) Child’s Name: _____________________
All students must re-enroll annually. Students now attending First Lutheran will receive priority through Feb. 28. New applications will be considered on March 1. A payment plan is available (1/3 due immediately, 1/3 due March 31, and final payment by April 30). A portion of the enrollment fee is refundable when cancellation is necessary: 60% if requested before June 1; 40% from June 1 to August 1. ***No refunds after August 1***
To reserve a place, 1/3 of the enrollment fee must be paid with his form and all paid by April 30. Enrollment Fee Pre-School & Pre-Kindergarten (Half days) $225.00 Pre-School & Pre-Kindergarten (Full School days) $350.00 Kindergarten thru 5th grade $350.00 Grades 6th – 8th $400.00
Discount rate if paid by April 30 ($200 if paid in full by April 30) ($325 if paid in full by April 30) ($325 if paid in full by April 30) ($375 if paid in full by April 30)
NEW Referral Credit: $200 credit to ANY current school family for each new family to our school that enrolls in grades 1st – 5th that states on their application that they were referred to by that family. The current school family will receive the $200 credit in January for each of those new students in 1st-5th grade that remain enrolled through the first semester. There are multiple discounts available. Please review the financial page and tell us which tuition payment plan you intend to use.
Payment Plan Options:
□ 1 Payment □ 2 Payment □ 9 months
□ 12 months (starts in June)
□ Member
Your Signature ______________________ Print Name ______________________ Date_____________
Growing up, Reaching Out, and Walking together with Jesus at First Lutheran Church & School. First Lutheran’s 90th Anniversary Year Theme Verse (1925-2015) Lord, you have been our dwelling place throughout all generations. Psalm 90:1