225 Danbury Road | Wilton, CT 06897 | Tel: 203-762-8100 | OLFAcademy.org

Student Registration Form: 2021-2022 Academic Year

Please refer to the complete list of 2021-2022 Tuition and Fees included as part of this form.

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
Cell Phone	Mother's Information	Father's Information
Work Phone	Mother's Information	Father's Information
Home Phone	Mother's Information	Father's Information
Email 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(s)

	Please check one:
Pre K-3	Please check one:
Pre K-4	Please check one:

2. Please complete the following student information.

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

Race *

Religion *

3. Review tuition, fees, and agreement for 2021-2022 academic year.

2021-2022 OLFCA TUITION & FEE SCHEDULE

Current Student(s)
Number of Students	Annual Tuition	Parent Association Per Family	Technology Fee	Registration Fee	Total
1	$7,840	$700	$200	$50	$ 8,790
2	$15,180	$700	$400	$100	$16,380
3	$22,500	$700	$600	$150	$23,950
4	$29,850	$700	$800	$200	$31,550
5	$37,180	$700	$1,000	$250	$39,130

New Student(s)
Number of Students	Annual Tuition	Parent Association Fee Per Family	Technology Fee	Registration Fee	Total
1	$7,840	$700	$200	$150	$8,890
2	$15,180	$700	$400	$300	$16,580
3	$22,500	$700	$600	$450	$24,250
4	$29,850	$700	$800	$600	$31,950
5	$37,180	$700	$1,000	$750	$39,630

AFTER SCHOOL PROGRAM RATES

After School Program available each day from 3:00 – 6:00 PM and on Early Dismissal days from Noon – 6:00 PM.

THE RATE PER CHILD IS $10.00 PER HOUR

If school is closed early due to inclement weather, there will be NO AFTER SCHOOL PROGRAM.

OUR LADY OF FATIMA CATHOLIC ACADEMY TUITION AGREEMENT

1. Families requesting financial aid must apply online at https://factsmgt.com/aid no later than March 15. Late applications will be considered to the extent financial aid funds are available after processing all on-time applications.

2. No child will be admitted to class in the Fall unless the tuition balance from the prior year is paid in full. This includes ALL monies owed for after school programs as well.

3. All families must enroll with FACTS Management and indicate which method of tuition payment will be used for the new school year. Regardless of the plan selected, all tuition payments will begin in July and extend to April. The annual FACTS enrollment fee is waived for all families paying in full and is reduced for families who choose to enroll in a semi-annual plan. All families must enroll in a payment plan through FACTS Management by June 1. If you currently have an account with FACTS you can keep the same account. Go to the drop-down box and select new academic and then “set up payment plan”. Be sure to note the grade that your child will be in NEXT YEAR.

4. The link to FACTS is: https://online.factsmgt.com/signin/3JR9J

5. If a family elects to and pays their entire tuition bill in one payment by July 5^th or 20th, the FACTS administrative fee is waived.

6. If an electronic payment fails for insufficient funds, a Returned Payment Fee will be assessed by FACTS Management and your bank may assess additional fees. The missed payment will be automatically reattempted within 15 days. There is a 2.85% convenience fee for paying by credit/debit card.

7. All tuition accounts will be considered seriously delinquent if not paid after 30 days. Report Cards will be withheld for delinquent tuition accounts past 30 days.

8. If an account remains past due for more than sixty (60) days, the student may be asked to leave the school permanently until their account is paid. We reserve the right to send any delinquent account to an outside collection agency which may adversely affect your credit rating. No school academic records will be released until all financial obligations have been met.

9. Families are responsible for all attorney’s fees and collection fees associated with recovering any defaulted balance.

10. For those families who have a student graduating from the 8th grade in June, all financial obligations including after school fees must be paid in full by May 1, for that student or any sibling in order to participate in any graduating ceremonies or field trips.

11. Registration, Academy Parent Association, and Technology Fees are Non-Refundable. If a family enters the school during the school year all these fees are due in full. These fees cannot be prorated.

12. Tuition is Non-Refundable. In the event that we are unable to serve your child due to medical reasons, we will gladly refund the unused tuition after a note from your doctor is given to your school principal. If a family is relocated out of state or more than 30 miles from original address, refunds will be pro-rated based on the following: Prior to November 1: 75% of Total Tuition; November 1 – January 31: 50% of Total Tuition; After February 1 : No Refunds.

4. 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 or 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 SET FORTH IN THE TUITION AGREEMENT ABOVE AND AGREE TO ABIDE BE ALL TERMS AND CONDITIONS DESCRIBED ABOVE.

This Enrollment/Tuition Agreement Form must be completed and the $50.00 per child registration fee for current students and $150.00 for new students should be paid by PayPal upon completing this form or 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

5. Sign and pay your registration fee. Students will be registered on a first come, first served basis. If your class has reached its capacity, your name will be entered onto our waiting list in the order in which it is received.

Choose Registration Fee *

Parent/Guardian Signature *

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Parent/Guardian Name *

Parent/Guardian Signature

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Parent/Guardian Name