Student Registration Form: 2020-2021 Academic Year

1. Insert and verify names and billing address. Make any necessary changes for returning students. Please complete all fields. Enter "N/A" if not applicable.

	Mother's Information	Father's Information
Name	Mother's Information	Father's Information
Home Address	Mother's Information	Father's Information
City, State ZIP	Mother's Information	Father's Information
Home Phone	Mother's Information	Father's Information
Cell Phone	Mother's Information	Father's Information
Work Phone	Mother's Information	Father's Information
E-Mail Address	Mother's Information	Father's Information

A NOTE FOR PRESCHOOL STUDENTS

Our Preschool is a 5 - FULL DAY program. We do, on occasion, have a family request fewer or shorter days and that can be accommodated. However, the cost is based upon the staffing needed for 5-FULL DAYS and cannot be reduced for students attending alternate hours. Please notify the principal or director if you will be requesting alternate hours.

Preschool Child's Name

Please Check One

PreK-3

PreK-4

2. Please complete the following student information.

	Student's Last Name	Student's First Name	Gender	Date of Birth	Grade Enrolling For
Student 1	Student's Last Name	Student's First Name	Gender	Date of Birth	Grade Enrolling For
Student 2	Student's Last Name	Student's First Name	Gender	Date of Birth	Grade Enrolling For
Student 3	Student's Last Name	Student's First Name	Gender	Date of Birth	Grade Enrolling For
Student 4	Student's Last Name	Student's First Name	Gender	Date of Birth	Grade Enrolling For
Student 5	Student's Last Name	Student's First Name	Gender	Date of Birth	Grade Enrolling For

3. Please select one of the following TUITION PLAN PAYMENT options from the list below. Please check ONE. NOTE: FACTS charges a convenience fee for paying by credit/debit card. See Tuition Schedule for current year's fee. *

A. Payment-in-full by July 5th pr 20th (FACTS Payment Date of Choice.) Full payment by check should be brought to the school office.

B. Two (2) equal payments through the automatic electronic withdrawal from your bank in JULY and NOVEMBER, plus the current year (per family) FACTS administrative fee.

C. Four (4) equal payments through automatic electronic withdrawal from your bank account in JULY, OCTOBER, JANUARY, and APRIL, plus the current year (per family) FACTS administrative fee.

D. Ten (10) monthly payments through automatic electronic withdrawal from your bank account starting in JULY and ending in APRIL, plus the current year (per family) FACTS administrative fee.

BY SIGNING THIS ENROLLMENT/TUITION AGREEMENT FORM, I (WE) ACKNOWLEDGE THAT I (WE) HAVE READ AND AGREE TO THE TERMS AS PUT FORTH ON THE TUITION AGREEMENT THAT IS AVAILABLE AT https://www.olfacademy.org/apps/pages/Registration.

This Enrollment/Tuition Agreement Form must be completed and the $50.00 per child registration fee should be sent to the school office at 225 Danbury Rd, Wilton, CT 06897.

These should be returned right away so that you are officially registered. Returning families who already have a FACTS account should log in to confirm their information. New families that do not currently have a FACTS account need to go onto the FACTS portal to set up an account. Note: Facts will draw their fee within two (2) weeks of finalization (usually early May). Link to FACTS: https://online.factsmgt.com/signin/3JR9J

Parent/Guardian Signature *

clear

Parent/Guardian Name *

Parent/Guardian Signature *

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Parent/Guardian Name *