Faith Lutheran of Redmond ~ Student Application ~ 2017-2018

Faith Lutheran School of Redmond Celebrating 35 Years of Excellence in Christian Education! Student Application

9041 -166th Ave N.E. ~ Redmond, WA 98052 ~ 425-885-1810 ~ www.faithredmond.org

Welcome to my second family, Faith Lutheran School! Working with children and families is a true passion of mine. You are your child’s primary caregiver, and Faith Lutheran preschool teachers feel it is very important to partner with families to provide the best possible outcome for your children. We also understand the value and diversity that each family brings. We recognize the importance of forming a partnership with parents to create a positive experience for all children. The classrooms use a varied curriculum that incorporates both emergent leaning, The Creative Curriculum, play-based, and traditional theme based processes. It is our goal to create a learning environment where children will thrive intellectually and socially--a place where students can plan together, help each other, become proud of their accomplishments, discover ways to settle conflicts, and become critical thinkers, decision makers, and problem solvers. Together, the highly trained teachers engage in ongoing reflective practice to achieve high-quality early childhood standards.

I am committed to providing a loving early learning experience for children and creating a program that emphasizes the importance of social, emotional, cognitive, spiritual and physical development. Enclosed you will find all the forms necessary to apply to our school. Please feel free to call or email if you have questions about our school or any of the information you read. I look forward to meeting you and welcoming you in our journey to excellence. From the Heart,

Stephanie Jacobsen Early Childhood Director

Faith Lutheran Church and School does not discriminate in employment practices or client services on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, class, age, religion, or disability. Faith Lutheran School reserves the right to select staff and students on the basis of commitment to Faith Lutheran School behavior standards and adherence to the school policies and procedures.

Faith Lutheran School of Redmond ~ Student Application ~ 2017-2018 Tuition and Fees (*All fees are non-refundable) Tuition Cost Registration Classroom Class / Time Days of the Week Per Month Fee Supply Fee ½ Day Full Day All Students All Students Toddlers (TODDS) ½ Day: 9 am to 12 pm Mon. - Tues. - Wed. $465 $720 $175.00 $40 Full Day: 9 am to 3:15 pm Monday - Friday $710 $1010 AM Preschool (AMPS) Multi Age Preschool (MAPS) Monday - Thursday $570 $995 $175.00 $40 ½ Day: 9 am to 1 pm Monday - Friday $730 $1010 Full Day: 9 am to 3:15 pm Pre- ½ Day: 9 am to 1 pm Monday – Friday $730 $1010 $175.00 $40 Full Day: 9 am to 3:15 pm Kindergarten ½ Day: 9 am to 1 pm Monday - Friday $730 $1010 $175.00 $40 Full Day: 9 am to 3:15 pm *Tuition payments are made via Thrivent Tuition automatic withdrawal. Funds can be withdrawn from a checking, savings, or *credit card account (*additional FEES apply) *Tuition is due regardless of vacations or illness. Families will receive a makeup day in June for any school closures due to inclement weather or other forced closures

Before and After School Care - *pending enrollment projections 8:30 am to 9:00 am Monday-Friday $105 per month 3:15 pm to 6:00 pm Monday-Friday $300 per month

TUITION OBLIGATION SCALE FOR VOLUNTARY WITHDRAWAL

Tuition adjustments will be made only in the case of moving from the area (50+ miles), loss of income or financial hardship, or if it is determined that your child requires a special need that Faith cannot provide. Any other voluntary withdrawal, due to financial dependency of the school on tuition funds, please refer to the tuition obligation scale below.

Date of Withdrawal (prior to start of school) Tuition Obligation Prior to June 1, 2017 No tuition obligation After June 1st, and prior to July 1, 2017 One month’s tuition After July 1st , and prior to August 1, 2017 Two month’s tuition After August 1, 2017 Six month’s tuition or remainder of school year After February 1, 2018 Remainder of the year’s tuition

□ 5% Referral tuition discount for any family who refers a new family to Faith Lutheran School and new family enrolls. Discount will start when new student starts at FLS. □ 8% tuition discount for those who enroll prior to February 28, 2017. Registration fees are due at this time to be eligible for this discount. *Fees are non-refundable. □ 2% tuition discount for full tuition payments paid in full by Friday, August 31, 2017. Full tuition payments are non-refundable. □ There is an 8% sibling discount. □ 20% tuition discount for all students of Faith Lutheran Church, FLC, members. Church membership must be active for one year.

APPLICATION FORM (Office hours are 8:30 am to 3:30 pm M-F)

Faith Lutheran Church and School does not discriminate in employment practices or client services on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, class, age, religion, or disability. Faith Lutheran School reserves the right to select staff and students on the basis of commitment to Faith Lutheran School behavior standards and adherence to the school policies and procedures.

Faith Lutheran School of Redmond ~ Student Application ~ 2017-2018

Student’s Name: ______ M  F First Middle Last

Student’s Date of Birth______Check all you would like to apply for: Pre-School ½ Day Before School After School  FLS reserves the 9:00-1:00 Full Day Care Care right to balance (Todds 9-12) 9:00-3:15 8:30-9:00 3:15-6:00 class ratios. Toddlers (TODDS) 9:00-12:00: Therefore, class Mon. - Tues. - Wed. configuration may change. Monday - Friday  ALL class AM Preschool (AMPS): placements must Monday - Thursday be approved by the ECE Director. Monday - Friday Multi-Age Preschool (MAPS): Monday - Thursday

Monday - Friday

½ Day Full Day Before Care After Care 9:00-1:00 9:00-3:15 8:30-9:00 3:15-6:00 Pre- Kindergarten (Pre-K) Monday-Friday Kindergarten Academy Monday-Friday

Guardian(s) Please Circle Primary Residence: Parent 1 Name Parent 2 Name______

Full Name ______

Address ______

E-mail Address ______

Home Phone ( ______) ______( ______) ______

Cell Phone ( ______) ______( ______) ______

Other Phone ( ______) ______( ______) ______

Occupation/Employer______

Faith Lutheran Church and School does not discriminate in employment practices or client services on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, class, age, religion, or disability. Faith Lutheran School reserves the right to select staff and students on the basis of commitment to Faith Lutheran School behavior standards and adherence to the school policies and procedures.

Faith Lutheran School of Redmond ~ Student Application ~ 2017-2018 EMERGENCY AND HEALTH INFORMATION FORM

Student’s Name: ______ M  F First Middle Last Birthday ______

Guardian(s) Parent Parent Applicant resides with (please circle): Address

Home Phone

E-Mail

Cell Phone

Work Phone

People to notify in case of emergency (if you cannot be reached) and/or have permission to pick up your child: Name Relationship Permission to pick up in 10 digit phone number(s) emergency? (Yes/No)

Who does not have permission to pick up your child?

Name Reason:

Date of child’s last physical exam: Child’s health care provider: 10 digit phone number

Health Care Provider’s Address:

Special health problems? Yes or No? If yes, specify. Allergies, including drug reactions Yes or No? If yes, specify.

Regular medications? Other Important Information/Any assistive device (glasses, hear Yes or No? If yes, specify. aids) Child’s Dentist Dentist Address Dentist #

Child Medical Insurance Company Member/policy number Policy Holder Name

CONSENT TO MEDICAL CARE AND TREATMENT OF A MINOR CHILD In a necessary situation where I cannot be contacted, I hereby authorize the Faith Lutheran staff or designee to follow the procedures below with my child, ______. 1. Time and situation permitting, reasonable attempts shall be made to contact the parents/guardians identified below. 2. When said persons cannot be contacted, the Faith Lutheran staff or designee is to act in my/our behalf. 3. Time and situation permitting, the physician or dentist designated on the Emergency and Health Information form (filled out with application) shall be contacted. 4. The Faith Lutheran Staff are hereby authorized to give consent for an X-Ray exam, anesthetic, medical or surgical diagnosis or treatment and hospital care under the supervision and upon advice of any licensed physician or surgeon. ______Parent’s Full Legal Signature Date

Faith Lutheran Church and School does not discriminate in employment practices or client services on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, class, age, religion, or disability. Faith Lutheran School reserves the right to select staff and students on the basis of commitment to Faith Lutheran School behavior standards and adherence to the school policies and procedures.

Faith Lutheran School of Redmond ~ Student Application ~ 2017-2018 FAMILY AGREEMENT FORM (Please read and sign the following to indicate your agreement)

Student’s Name: ______ M  F First Middle Last _ Please initial your agreement for each statement _____We have read and will abide by the Faith Lutheran School of Redmond Policies & Procedures.

_____ We understand that grade placement will be made by the administration in cooperation with the parents and teaching staff and any other testing supervisor necessary.

____ We understand that ALL FEES are NON-refundable.

____ We understand the tuition is paid either by direct withdrawal from a checking, savings, or credit card account on the first of each month or once per year prior to the start of school.

Faith School relies on tuition commitments when budgeting and making operating expense commitments. It places a financial hardship on the school when families enroll but do not complete the year with the school and pay the tuition obligation.

____ We understand the school has expenses based on our commitment to enroll. We agree to be financially obligated in the event our student takes a vacation or withdraws due to our decision. If we are required to move out of the area (50 + miles) we are not obligated to continue tuition payments.

TUITION OBLIGATION SCALE FOR VOLUNTARY WITHDRAWAL Tuition adjustments will be made only in the case of moving from the area (50+ miles), loss of income or financial hardship, or if it is determined that your child requires a special needs program that Faith cannot provide. Any other voluntary withdrawal, due to financial dependency of the school on tuition funds, a replacement must be found to eliminate financial obligation for the full tuition amount OR follow the tuition obligation scale below. If we are not able to find a replacement, families are financially responsible for the entire amount of the school tuition.

Date of Withdrawal (prior to start of school) Tuition Obligation Prior to June 1, 2017 No tuition obligation After June 1st / Prior to July 1, 2017 One month’s tuition After July 1st / Prior to August 1, 2017 Two month’s tuition After August 1, 2017 Six month’s tuition After February 1, 2018 Remainder of the year’s tuition

____ We understand the school reserves the right to expel or not accept any student or family who fails to comply with established standards of behavior or, at the discretion of our school board and administrator, ask any family to leave that interrupts the education, climate, and operating principles established at Faith. Students expelled or families who are asked to leave will be reimbursed any remaining unused portion of tuition payments except for the required application fees.

____ We understand that each family is committed to volunteer for 10 hours during the school year. (Between August 1st and June 1st). If we do not complete these required hours, we understand that we will be required to pay for these hours at a rate of $20 an hour. We understand this amount will be added to our June tuition payment. Each family is required to purchase at least 1 ticket to Faith’s annual fundraising event.

____ We understand that my child’s class configuration and placement has been thoughtfully considered, and will be continually monitored as the ‘best fit’ for all. If during the school year, the School Board needs to consider circumstances which necessitate an adjustment to the class configuration and/or student placement, we will be notified of any action. My child’s best interest will remain a priority at FLS. We have, to the best of our ability and knowledge, answered all questions honestly and completely and have provided any documentation pertinent to our child’s education. We agree to all the above policies whether initialed or not.

Date______Parent or Guardian______

Date______Parent or Guardian______

Date ______School Registrar ______

Faith Lutheran Church and School does not discriminate in employment practices or client services on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, class, age, religion, or disability. Faith Lutheran School reserves the right to select staff and students on the basis of commitment to Faith Lutheran School behavior standards and adherence to the school policies and procedures.

Faith Lutheran School of Redmond ~ Student Application ~ 2017-2018

Faith Lutheran School of Redmond Fees and Tuition Record ~ 2017-2018

______#1 Student Name (last, first) Name of Class Date (from attached check)

______#2 Student Name (last, first) Name of Class

Tuition Comments Student #1 Student #2 Annual Tuition Early Enrollment Discount: 8% Sibling Discount: 8% Church Member Discount: 20% Pay in full discount 2% FLS Student Referral: 5% *VIV Discount (volunteer): (for returning families only) Scholarship Discount per School Board Approval State Subsidies (must be approved by DSHS) Total Per Year: Ten monthly payments of: * FLS Church members with full time students and VIV’s only qualify for one discount.

Extended Care Tuition - Cost Per Year Comments COST Days Per Month $1050/yr Before School Club (8:30 am to 9 am) Monday-Friday (5 days) $105/month $3,000/yr After School Club (3:15-6:00 pm) Monday-Friday (5 days) $300/month

Ten monthly payments of: Total Tuition with Extended Care (ten monthly payments)

Non-Refundable FEES Check if Paid Example Student #1 Student #2 Registration (yearly) $175 Classroom Supply (yearly) $40

______Early Childhood Director’s Signature Parent’s Signature

Faith Lutheran Church and School does not discriminate in employment practices or client services on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, class, age, religion, or disability. Faith Lutheran School reserves the right to select staff and students on the basis of commitment to Faith Lutheran School behavior standards and adherence to the school policies and procedures.