Please attach a voided check OLGCA Tuition Payment Agreement Family Name: ___________________________ Parent(s) Name: _________________________ Student(s) Name & Grade: _________________ _______________________________________ Person(s) Responsible for Tuition Name:_______________________________ Address:_____________________________ ________________________________________________________________________ Please review and select one of the three Payment options below: Option #1: Pay the Annual Tuition in Full, (less $150 discount) must be paid by JUNE 30, 2018 My annual tuition total $_________________ (less $150) is $______________________. Option #2: Pay the Annual Tuition through ACH - a monthly deduction from your Checking Account. My annual tuition total is $ __________________ and my monthly payment is $ __________________ (DIVIDE THIS AMOUNT BY 10 FOR THE MONTHLY PYMT) I want my annual tuition total deducted in 10 installments of $__________ beginning JULY 2018 to APRIL 2019. The monthly installment will be deducted on the business date closest to the 15th of each month. (1-3 days after the 10th, if weekend or Holiday). Any returned deductions will result in a $40 service fee charge which will be added to your tuition account. If two returned deduction occur, this option will be terminated and would default to Option #3: Monthly Installments. Forms of payment accepted would be cash, Money Order or Certified check. Deductions are processed by Santander Bank. You have our assurance that your account information will be secure. Please attach a voided check Option#3: Pay the annual tuition in 10 monthly installments (cash, check, money order payable to “Our Lady of Grace Catholic Academy” or “OLGCA”). My annual tuition total is $ __________________ and my monthly payment is $ __________________ (DIVIDE THIS AMOUNT BY 10 FOR THE MONTHLY PYMT) I want to pay my annual tuition beginning JULY 2018 to April 2019. Using my Option C login information, I will view my monthly charges/payments throughout the year. I understand that any returned checks will result in a $40 service charge which will be added to my tuition account. Payments are due on the 1st of each month. Tuition Payment Grace Period: Monthly tuition payments are due on the 1st of the month. Any payments received after the 10th of the month will incur a $25 late fee. Returned Check Policy: Any check (tuition, fees, lunch, after school, fundraising, etc.) not honored by the bank will result in a $40 returned check fee added to the original amount. **Please note that after two returned checks from the bank , we will only accept Cash, Money Order, or Certified check for the rest of the school year. Personal checks will not be accepted. ** By signing below, you agree to the fees/tuition outlined in the attached Financial Policy and pay the full amount of your annual tuition by the option you choose above. Your signature also indicates that you understand tuition is an annual rate paid by monthly installments. Failure to keep your account up-to-date will result in held report cards, Diplomas and/or forfeiture of your child’s ability to attend classes and re-register for the following academic year. This is indicated in the Arrears Policy section of our School Handbook. Please sign and date after reading and agreeing to all financial policies. X__________________________________