westpark school/westpark high - Clover Sites

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WESTPARK SCHOOL TUITION AND FEE CALCULATION SHEET Name: ___________________________________________________Ph: _________________________ Email:____________________________________________________ # of Children enrolled _____

Box A

Tuition (per chart in Box D on reverse) + Capital Fee (per family) + Student Fees Kindergarten $40 x ______students Grades 1-3 $70 x ______students Grades 4-8 $80 x ______students Grades 9-12 $100 x ______students Total payable Less Tuition deposit (due upon acceptance or reenrolment) $100 x ______ students Total remaining If paying by lump sum before end of June, subtract 5% of line 1 for discount-$ (_______) Lump Sum Total Payable

(line 1) $ ________ (line 2)+$ 200.00 (line 3)+$ _________ (line 4)+$ _________ (line 5) $ _________ (line 6)+$ ________ (line 7)+$ _________ (line 8)-$(_______) (line 9) =$ _________ $ _________

Box B Indicate your Tuition Payment Choice  Lump sum payment (cheque may be post-dated; not later than June 30 of current year)  10 Monthly payments (post-dated cheques commence September 1 of current year)Box A Line 9 /10_______  Pre-authorized Debit (complete PAD authorization information in Box C)  I am requesting a tuition assistance information and application package

Box C Pre-Authorized Payment Option Bank Information:

Option #1: Attach a “void” cheque. Option #2: Fill out bank information below (all info is required!) Name of Institution: ______________________________________________________________________ Branch Address:_________________________________________________________________________ City/Prov.: _____________________________________________________________________________ Transit # ______________ Institution # _________Account # _____________________________________ (5 digits) (3 digits) (7+ digits, include all zeros)

Frequency of payment:  Bi-weekly (Every other Friday)  Semi-monthly (1st and 15th only)  Monthly (1st or 15th)

 Keep banking info the same as previous year. Change the amount only.

Payment amount: $ _____________ (Total remaining from Box A line 9divided by number of payments) Start Date: __________________________ End Date: _________________________ *Tuition payments for this school year must be completed on or before June 30th.

WESTPARK SCHOOL TUITION Tuition Costs: Kindergarten

$1500

Grade 1 – 8

$3000

Grade 9 – 12

$3200

Family Discounts: Number of Children in School

Discount

1.5

$250

2

$500

2.5

$750

3

$1000

3.5

$1250

4

$1500

4.5

$1750

5

$2000

A brief explanation of fees: Capital Improvement Fee: This fee goes towards the capital expenses that the school needs to keep and maintain the facility (things in the building, not books). Capital fees do not go toward new building construction. They are supplemented by budgeted money from the general fund of the school. The Capital fee is 100% tax deductible and is included with the tuition portion on your annual tax receipt. Student Fees: These fees are based on the actual costs for field trips from the previous school year. For next school year these fees have been established based on the actual cost of this school year. This will be tracked and calculated according to grade grouping. Please note, you will not be reimbursed for activities if your child does not attend.

Office Use Only Form Received: __________ Deposit Received: ___________ Payments Received: ____________ Referral Discount: _______________________________________________________________ Notes: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________