Name *

First Name

Last Name

Phone

(###)

###

####

Please mark each circle which corresponds to their current grade level. *

Kindergarten

1st Grade

2nd Grade

The tuition is $11,000 per student per year. Please mark which tuition amount you could contribute for each student: *

$11,000 (100% Tuition)

$8,250 (75% Tuition)

$5,500 (50% Tuition)

$2,750 (25% Tuition)

$1,100 (10% Tuition)

$550 (5% Tuition)

Would either parent be willing to exchange work for tuition? *

Yes

No