Sibling, Employee Discount, Cancel Auto Charge and Alternative Payment Plan
Program
Program Site(s)
Parent's Name
Child(ren)'s Name
Address
City State Zip
I am requesting that my Sibling Discount be applied to my account.
Summer Registration
Fall Registration
I am requesting that my Employee Discount be applied to my account.
My 6 digit Kyrene Employee number is:
Do you want to cancel Auto Charge payments?
I am requesting to change to the Alternate Payment Plan (1/2 tuition on 1st and 1/2 tuition on 15th)?
By canceling my auto charge payments I understand that
if my tuition is not received by the close of business on the fifth day of the month in which it is due, a $25 late fee will be assessed. if my account balance is not paid in full by the close of business on the tenth day of the month in which it is due, a Notice of Non-Payment will be mailed. if my account balance is not paid in full by the 20th day of the month in which it is due, an Administrative Withdrawal Notice of the child from the program(s) will be sent, effective the first day of the following month. if my account balance is not paid in full by the last day of the month, the child will not be eligible to re-enroll in the Program until the account balance that is past due and the tuition that is currently due are paid in full. On the fourth Administrative Withdrawal Notice in a year, my child is not eligible to re-enroll in Community Education services until the first day of the following school year. To re-enroll, the family account must also reflect a zero balance.
if my tuition is not received by the close of business on the fifth day of the month in which it is due, a $25 late fee will be assessed.
By placing my initials in the box I am requesting that my discount be applied to my account.