intent-to-return-2016-2017

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Intent to Return Contract

Western Mennonite School

2016-2017 Parent/Guardian: (Printed Name)

Student: ______________________ Grade: ______

Student: ______________________ Grade: _____

Student: ______________________ Grade: ______

Student: ______________________ Grade: _____

Please check the following items for which you would like more information. _____ Financial assistance

_____ Mennonite Church discount

_____ Family specific tuition & fees estimate

_____ Busing routes and fees

In consideration for the services provided by Western Mennonite School on behalf of my child, I agree to pay the tuition and fees in accordance with the method initialed below. _____ I will pay my child’s tuition in advance for the entire year through WMS PayPal for a 2% savings on tuition. Payment is due by July 1. (no discount on tuition paid by credit card). _____ I agree to monthly automatic withdrawals for my child’s tuition and other expenses as they are incurred over _____ 10 months (beginning September 10), _____ 11 months (beginning August 10) -or- _____ 12 months (beginning July 10). I have included the Estimated Tuition & Fees worksheet for equal monthly billing. _____ I plan to apply for financial assistance and, based on acceptance of the award agree to monthly automatic withdrawals. I understand that to be enrolled, my child must abide by the WMS Community Standards as found in the Student Handbook. If my child withdraws before the school year begins or during the year, I will notify the school in writing and it shall be effective when such notice is delivered to the office. If I submit notice of withdrawal after the first day of classes, I will be charged a prorated daily amount per school day enrolled. By signing below, I agree to the above terms and authorize payment via automatic withdrawal, which I will submit or already have on file. Non-refundable registration fee for each student: $50 if returned by April 8, or $100 if returned after. I have enclosed the registration fee

_________________________________ Signature of Parent

Invoice my account for the registration fee

______________ Date

___________________________________ WMS Director of Advancement & Finance


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