ENROLLMENT - mgmacademy.net

MGM ACADEMY ENROLLMENT FORM

Thank you for enrolling your child in MGM Academy! Please fill out the fields as completely as possible. Gracias por matricular a su hijo o hija en MGM Academy! Porfavor completa los campos lo mas possible!

Student Full Name

Grade Applying For Grade Applying For Pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

Date of Birth

Ethnicity Ethnicity Hispanic or Latino Black or African American White Other

Street Address

Address Line 1

Address Line 2

City

State

Zip Code

Current School or School Last Attended

Upload the most recent transcript File InputNo Files ChosenAccepted file types: jpg, jpeg, jpe, png, 3gp, 3gpp, mka, 7z, xla, xls, xlt, xlw. Max. file size: 1 MB

Upload the withdrawal form from previous school File InputNo Files ChosenAccepted file types: jpg, jpeg, jpe, png, 3gp, 3gpp, mka, 7z, xla, xls, xlt, xlw. Max. file size: 1 MB

What (if any) devices do you currently have that your child can use for online classes? What (if any) devices do you currently have that your child can use for online classes? Desktop Computer Tablet Smartphone None

Has the student been diagnosed or is experiencing symptoms of Has the student been diagnosed or is experiencing symptoms of ADHD Autism Emotional Disorder such as Depression/Anxiety Behavioral Disorder such as oppositional defiant/conduct disorder Other

Please upload the most current Psychological or Neurological evaluation File InputNo Files ChosenAccepted file types: jpg, jpeg, jpe, png, mka, xla, xls, xlt, xlw. Max. file size: 1 MB

Does the student has an active Individualize Educational Plan (IEP)? Does the student has an active Individualize Educational Plan (IEP)? Yes No

If yes, please upload the document File InputNo Files ChosenAccepted file types: jpg, jpeg, jpe, png, 3gp, 3gpp, mka, 7z, xla, xls, xlt, xlw. Max. file size: 1 MB

Primary Parent / Guardian Full Name Parent / Guardian Information | Please provide information for the parent(s) or guardian(s) that student lives with.

Phone

Alternative Phone

Email

How Did You Hear About Us? How Did You Hear About Us? Friend/Family Member Internet Search Social Media Other

Student's Tuition Student's Tuition PreK ($1200) K-5 ($5000) 6-8 ($5200) 9-12 ($5400)

TUITION CONTRACT: Parties This PRIVATE SCHOOL TUITION CONTRACT (“Contract”), made by and between Sai Rivero, School Director of MGM Academy of Excellence (“School”) located at 8040 NW 155th Street, Miami Lakes, FL 33016 and (“Client”). In consideration of the mutual promises and covenants in this Contract, of which the receipt and sufficiency are hereby acknowledged, the parties further agree to the terms as follows: Nature of the Contract The Client agrees to pay tuition for the educational services as defined in the student’s education program from the School. Furthermore, the School agrees to provide the educational services described in the student’s education program in accordance with the applicable rules and regulations of the Indiana Department of Education. The Company and the Client agree to comply with the requirements enforced by the Commissioner of Education and the Department of Education. Terms and Conditions • TERM. This Contract will be effective for the current School Year. The contract will be renewed every year, automatically until it is cancelled. • WARRANTIES OF THE SCHOOL. The School warrants that it operates according to the applicable federal and state laws and rules and regulations of the Indiana Department of Education. The School guarantees that it will not discriminate against any employee or student regardless of race, creed, color, disability, national origin, ancestry, or gender identity. • TUITION FEE. The Client agrees to pay the School a tuition fee of $500 each month for the entire school year. The Client shall pay an initial deposit of five hundred dollars ($500.00) upon signing this Contract. The initial deposit amount will be deducted from the total bill due at the end of the school year. • LATE FEE. The Client shall pay the School the monthly tuition due no later than the first (1st) week of each month. If the monthly tuition is not paid twenty (20) days after it is due, the Client will be charged $50 per month on the unpaid balance. • PAYMENT METHOD. The Client will pay the specified fees above to the School via an electronic invoice. • WITHDRAWAL. The Client must pay the remaining tuition fees for the rest of the school year if the student is withdrawn from the school for any reasons other than the School’s request or a mutual agreement during the school year. Any requests for a refund by the Client must be first agreed in writing with the School. • ENTIRE CONTRACT. This entire Contract is governed by the State of Florida and shall bind the parties until its termination. Acknowledgment: By submitting this form, you agree to the terms and conditions of MGM Academy's enrollment. TUITION CONTRACT: Parties This PRIVATE SCHOOL TUITION CONTRACT (“Contract”), made by and between Sai Rivero, School Director of MGM Academy of Excellence (“School”) located at 8040 NW 155th Street, Miami Lakes, FL 33016 and (“Client”). In consideration of the mutual promises and covenants in this Contract, of which the receipt and sufficiency are hereby acknowledged, the parties further agree to the terms as follows: Nature of the Contract The Client agrees to pay tuition for the educational services as defined in the student’s education program from the School. Furthermore, the School agrees to provide the educational services described in the student’s education program in accordance with the applicable rules and regulations of the Indiana Department of Education. The Company and the Client agree to comply with the requirements enforced by the Commissioner of Education and the Department of Education. Terms and Conditions • TERM. This Contract will be effective for the current School Year. The contract will be renewed every year, automatically until it is cancelled. • WARRANTIES OF THE SCHOOL. The School warrants that it operates according to the applicable federal and state laws and rules and regulations of the Indiana Department of Education. The School guarantees that it will not discriminate against any employee or student regardless of race, creed, color, disability, national origin, ancestry, or gender identity. • TUITION FEE. The Client agrees to pay the School a tuition fee of $500 each month for the entire school year. The Client shall pay an initial deposit of five hundred dollars ($500.00) upon signing this Contract. The initial deposit amount will be deducted from the total bill due at the end of the school year. • LATE FEE. The Client shall pay the School the monthly tuition due no later than the first (1st) week of each month. If the monthly tuition is not paid twenty (20) days after it is due, the Client will be charged $50 per month on the unpaid balance. • PAYMENT METHOD. The Client will pay the specified fees above to the School via an electronic invoice. • WITHDRAWAL. The Client must pay the remaining tuition fees for the rest of the school year if the student is withdrawn from the school for any reasons other than the School’s request or a mutual agreement during the school year. Any requests for a refund by the Client must be first agreed in writing with the School. • ENTIRE CONTRACT. This entire Contract is governed by the State of Florida and shall bind the parties until its termination. Acknowledgment: By submitting this form, you agree to the terms and conditions of MGM Academy's enrollment. I accept

We offer 10% discount for Full Payment. We offer a payment plan. Tuition payment is due on the first of each month. A $50 late fee will apply to accounts that pay after the 5th of the month.