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Futurelink School Registration Form Registration Date ________

Student’s Name _____________________________________________________________ Public School _______________________________________________________________ Grade in Fall 2013 ___________________________

Homeroom Number __________

Home Address ______________________________________________________________

Mother’s Name ______________________________________________________________ Mother’s Cell Number _______________________________________________________ Mother’s Work Number ______________________________________________________ Mother’s E-mail Address _____________________________________________________

Father’s Name ______________________________________________________________ Father’s Cell Number ________________________________________________________ Father’s Work Number ______________________________________________________ Father’s E-mail Address _____________________________________________________

Emergency contact if parent or guardian is unavailable __________________________ Emergency Contact Phone Number ____________________________________________ Please list all special medical conditions, allergies, or restrictions ________________ ____________________________________________________________________________

22 W. Live Oak Ave. Arcadia, CA 91007 | Phone (626)446-3333 | Fax (626)446-0013 | Tax ID 95-4438507


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Futurelink School Admission Agreement

Parents, please initial each section: Registration Fee and Sibling Discount

A non-refundable $30 registration fee per student is required with registration for all new students. (Note: only one registration fee per family). Siblings receive a 10% discount.

Tuition Fee Policies

Parent(s) agree to pay the tuition regardless of the child’s attendance during the school year. No vacation, sick day, or no-show tuition credits will be offered for short-term absences (absences of less than five consecutive days). Monthly tuition is due on or before the first day of each month. Tuition is considered late if paid after the tenth of each month. Refunds are not given after enrollment.

Month-by-Month, Full Year, and Half Year Tuition Programs

Students who want to switch from the month-by-month program to the half year or full year program will receive prorated tuition. Conversely, students who register for the half year or full year program and withdraw in the middle of the term will be charged by the monthly rate according to their start and end dates.

Late Pick Up Fees

Parent(s) agree to pay a late fee of $10.00 for every half-hour after 6:30 pm that they are late picking up their child.

Late Charges and Collection Costs

A late charge of $2 per day will be assessed if monthly payments are not received by the tenth of each month. A $25 fee will be assessed for each returned check.

Grounds for Dismissal

Futurelink School retains the right to dismiss any student for unsatisfactory conduct on campus or off campus. The delinquency of tuition or any other school fees shall also be grounds for dismissal. Futurelink reserves the right to terminate enrollment if a student, parent, or guardian does not comply with Futurelink policies, rules, or regulations. Futurelink School may also terminate enrollment if the student, parent, or guardian fails to cooperate with faculty and administration. Repeated violation of Futurelink School rules will result in expulsion without refund.

Medical Authorization and Liability Waiver

Parents acknowledge that in case of illness or accident, Futurelink School has authority to secure necessary medical attention. Parents release any liability against Futurelink School, its faculty, and its drivers for medical aid rendered and will reimburse Futurelink School for medical and other expenses incurred in his/her case. Parents hereby waive all claims against Futurelink School, its faculty, and its drivers for illness, accident, injury, or death.

Media Release

Parent(s) grant permission for Futurelink School to use any photographs or video footage that may include images of his or her child for any Futurelink School promotional material or for any other purpose that Futurelink School deems appropriate including advertising, publicity, and web usage.

Accepted By: _____________________________

Date: _______________

22 W. Live Oak Ave. Arcadia, CA 91007 | Phone (626)446-3333 | Fax (626)446-0013 | Tax ID 95-4438507


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Futurelink School Tuition Payment Form

Student’s Name ____________________________________________________________ Public School __________________________________

Grade in Fall 2013 _________

Parent’s Name _____________________________________________________________ Parents, please check your preferred tuition program. $2700

Full Year Program

Payable in September

$1500

Half Year Program

Payable in September and February

$18/day

Month-by-Month Program

Payable by the tenth of each month

Transportation My child requires pick up services. My child does not require pick up services. My child requires drop off services.

Amount Due (Office Use Only) _________________ Tuition (First Child) _________________ Tuition (Second Child, if applicable) _________________ Tuition (Third Child, if applicable) _________________ Registration Fee _________________ Transportation Fee __________ /day x ______ days _________________ Total Amount (Please make checks payable to Futurelink). Payment Method Cash Check

Check Number(s)

Credit Card

22 W. Live Oak Ave. Arcadia, CA 91007 | Phone (626)446-3333 | Fax (626)446-0013 | Tax ID 95-4438507


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Tuition Schedule, Fees, and Transportation

Tuition Pricing $2700 ($2450 if you enroll before 8/10)

Full Year Program

$1500 due in September ($1300 if you enroll before 8/10)

Half Year Program

$1500 due in February ($1300 if you enroll before 8/10) $18/day *Pricing varies by school district. See below.

Month-by-Month

Month-by-Month Pricing Arcadia School District (180 days) Aug. to Sept. (23)

$414

February (19)

$342

October (22)

$396

March (20)

$360

November (15)

$270

April (17)

$306

December (15)

$270

May (21)

$378

January (19)

$342

June (9)

$162

Temple City School District (180 days) September (18)

$324

February (18)

$324

October (22)

$396

March (20)

$360

November (16)

$288

April (17)

$306

December (15)

$270

May (20)

$360

January (19)

$342

June (15)

$300

El Monte School District (180 days) Aug. to Sept. (23)

$414

February (19)

$342

October (22)

$396

March (20)

$360

November (15)

$270

April (17)

$306

December (15)

$270

May (21)

$378

January (19)

$342

June (9)

$162

Transportation Arcadia School Bus (Baldwin Stocker and Longley Way)

$95 per quarter or $380 for the full year

Cloverly, La Rosa, Cleminson, Rio Hondo, Camino Grove

$3 per trip

Longden, Emperor, Oak Ave, First Ave, Dana, Holly Ave

$3.50 per trip

Highland Oaks, Hugo Reid

$4.00 per trip

San Gabriel, Rosemead, and Other Schools

*Ask about pricing.

Other Fees Registration Fee

$50 (Non-refundable)

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