Santa Cruz Children's School
Application For Admission

School year: 2010-2011

Student Information

Name Sex

Birth Date Age (Sept. 1, 2010)____

Grade (Sept.2010___________

Address____________________________________________________

City, State, Zip______________________________________________

Previous school(s) ___________________________________________

Family Information

Mother/Guardian_____________________________________________

Telephone (home)________ (work)_______________________ Email

Occupation Employer

Father/Guardian_____________________________________________

Telephone (home) (work) Email

Occupation Employer

Brothers and Sisters of ApplicantAgeSchool

______________________________________________________________

______________________________________________________________

Special Needs

In order to meet your child's needs, we need to know if s/he has benefited from:

□  Speech Therapy□  Counseling□  Special Testing in

Special resource services for:□  Reading□  Math□  Other

Comments (including special health issues)

_______________________________________________________________

________________________________________________________________

_______________________________________________________________

NOTICE OF NONDISCRIMINATORY POLICY
The Santa Cruz Children's School does not discriminate on the basis of race, color,
nationality, or ethnic origin in its admission policies and educational programs.

Santa Cruz Children's School
Financial Policies

School year: 2010-2011

Schedule of Fees:

Application Fee (one-time fee, non-refundable)$250

Tuition$8,150 per year

Tuition (with parent co-op teaching position)$4,500 per year

After-School Care$6.25 per hour

Registration is a contract for the school year. In case of withdrawal for any reason before the end of the school year, you must notify the school in writing one month in advance. Tuition is payable through the month following the month of notification, however the down payments are non-refundable. Attendance for part of a month is counted as a full month.

Tuition is normally paid in installments:

1. A down payment of $900 is due at time of registration. This will hold your child’s place in the school. This payment is non-refundable.

2. Ten checks for $725 each, post-dated for the first of each month (August 1 - May 1).

The check dated August 1st is also due at time of registration, and is non-refundable.

3. The remaining nine checks are due on or before the first day of school, September 1st.

    You may pay the entire tuition balance of $6,525 in full, on or before September 1st.

After-school care is available from 2:30 - 4:00 pm. We have a flexible program. No advance reservations are necessary, and you pay only for the time you use. Payment is made in advance through the purchase of voucher cards. Each card represents 20 hours of care and can be used at any time during the year. The cost of after-school care is $6.25 per hour. After 4:00 pm the cost of after-school care is $37.50 per hour calculated and billed in 5 minute increments.

Santa Cruz Children's School reserves the right to dismiss a student at any time after conferences with the parents and upon notification by the School's Director.

I have read this policy and agree to its conditions.

Signature Date

Name (print)

Please enclose an application fee of $250 (non-refundable) payable to:

Santa Cruz Children's School
366 Gault Street

Santa Cruz, CA 95062

(831) 429-8444

www.scchildrensschool.com

Thank you for your interest in our school!