MSCCS Registration 2020-2021

Full Name

DOB

Registration Email

Address

Address 2

State

Zip Code

Home Number

Mother’s Number

Father’s Number

Does the child have any allergies?

--Select--

Yes

If yes, explain

Medication

Marital Status

--Select--

Married

Divorced

Single

Student resides with

--Select--

Mother

Father

Both

Guardian

May the school contact in emergency?

--Select--

Yes

Ethnicity and Race

--Select--

Hispanic/Latino

Haitian

American Indian

Asian

Black/African

Native Hawaiian

White

Native

Alaskan Islander

Pacific Non-Hispanic

Can you meet the financial obligations of this school?

--Select--

Yes

Does this student qualify for State Scholarship?

--Select--

Yes

If yes, please indicate which State Scholarship by placing a check mark below.

--Select--

School Readiness

VPK

Step-Up

If your family has qualified for a State Scholarship, please provide a copy of letter of award notification or award certification.

PLEASE INITIAL YOUR ACCEPTANCE FOR EACH OF THE FOLLOWING:

--Select--

Yes

I understand that all registration fees are non-refundable. Acceptance is not finalized until all Registration Fees and required registration documentation is received and reviewed by the school office.

--Select--

Yes

I understand that the following age guidelines must be followed in order for my child to attend MSCCS

Children entering PK3 must be 3 years old on or before September 1, 2020
Children entering PK4 must be 4 years old on or before September 1, 2020
Children entering Kindergarten must be 5 years old on or before September 1, 2020

--Select--

Yes

I understand that all children applying for PK3 must be fully potty‐trained by the first day of school.

--Select--

Yes

I agree to release the following information for purposes of a contact list for classroom use only.

what information is acceptable to release to other families in your child’s class

--Select--

Mother’s Email

Father’s Email

Phone

--Select--

Yes

I hereby grant MSCCS, the right to photograph my child and use the photo for in-house publications (Email Blast, Class Dojo, Shutterfly and Yearbook) and outside publications (School Website, Social Media, School Brochures and Flyers).

--Select--

Yes

I do not allow my child to be photographed for MSCCS in-house publications (Email Blast, Class Dojo, Shutterfly and Yearbook) and outside publications (School Website, Social Media, School Brochures and Flyers).

--Select--

Yes

I understand that there is no reduction in price if my child for any reason misses time from school. MSCCS does not discount monthly tuition rates for any absences, including Holidays, or changes due to weather.

--Select--

Yes

I understand that the monthly tuition is due by the 1st of every month. After the 1st of the month, I will be invoiced a $100 late charge. At (45) days past due I will be notified that my child will be withdrawn from enrollment at the school until all past due amounts are paid. Report cards, testing scores, and medical forms will not be released if there is a balance.

--Select--

Yes

I understand that if I request that my child remain in school past their scheduled time, a $25.00 fee will be added to my invoice. If I request that my child attend school for an additional day, a $45.00 per day fee will be added to my invoice. Parents who do not notify the office of extra hours needed will be charged a late fee of $10.00 per 15 minutes that they are late. Parents that come after 5:35 will be invoiced in the following month’s tuition with an additional $30.00 late fee every time that they are late.

--Select--

Yes

I understand that a $30.00 fee will be added to my account for any check that is returned from the bank. Cash is not accepted as a form of payment. Unless, if it is for fundraising purposes.

--Select--

Yes

I understand that the staff of MSCCS are C.P.R. and First Aid Certified. I give the staff permission to treat any minor medical injuries such as scrapes, cuts, bumps, or bruises.

--Select--

Yes

I understand that I will be notified in writing of any injury that occurred during the day. For any serious injuries we will call 911 and notify you and/or the emergency contacts immediately.

Name of persons allowed to pick-up child other than parents: (Identification must be presented at time of pick-up)

I agree to support the school to the best of my ability by attending and participating in the various activities the school schedule. I agree to volunteer at least ten (10) hours during the school year. Volunteer hours are to be completed by May 2021. If I have not completed ten volunteer hours by the end of the school year the I will incur a fee of $10.00 per hour missed. I am to be responsible for my child’s education by supervising assigned homework and maintaining contact with my child’s teachers. I understand that my fulfillment is required in the regular payment of tuition, fees, fundraising and other financial obligations as outlined in the Student/Parent Handbook. I understand that non-compliance may result in dismissal, non-issuance of examination and the withholding of all records and sent to collections until payment is complete.

Parent/Guardian full name

Signature of Parent/Guardian

Parent/Guardian full name

Signature of Parent/Guardian

The information I have provided is valid.

Register

MSCCS Registration 2020-2021

PLEASE INITIAL YOUR ACCEPTANCE FOR EACH OF THE FOLLOWING:

Name of persons allowed to pick-up child other than parents: (Identification must be presented at time of pick-up)