My Father's World

Information For Records Request

Form B
Name of the last school attended
Mailing address of last school attended

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of last school attended
example@example.com
School fax number
Please enter a valid phone number.Format: (000) 000-0000.
School phone number
Please enter a valid phone number.Format: (000) 000-0000.
I give Family Christian Academy permission to request records for my student.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Tuition Payment Options

Initial Fees

Enrollment Fee "My Father's World Online School"

Application and Processing

$275.00

New Student Processing

$20.00

Enter coupon

Subtotal

Tax

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Select your tuition payment plan
payments
amount
not prepay initial
amount + not prepay
Bank Draft
amount not prepay + bank draft
total contract value
Name on Bank Account

First NameLast Name
Bank Name
Transit/Routing #
Bank Account #
We, the parents/guardians of the enrolled student give Family Christian Academy permission to automatically withdraw the amount listed in the financial contract from our checking account each month. I/we are entering our bank account's information and an authorized signature on this form. The first payment will be processed immediately, and each subsequent payment will be processed on the 1st of each following month.

{payments} payment(s) of {amountNot348}

By signing below, we, the parents/guardians of the ernolling student, state that we understand, and will abide by this financial contract. We understand hat FCA will reserve a space for the enrolled student and we are responsible to pay the total contract value. If our child is administratively removed from the school, or, if we, the parents/guardians remove the student from the school or, if the student is removed from the school due to our becoming delinquent in fulfilling this contract, we the parent/guardian of the student undesrtand that we will still owe FCA the complete financial contract we have signed. We also assume responsibility for paying all legal fees incurred in an attempt to collect a debt on our account and understand that, while owing tuition fees or other charges, we give the school permission to withhold our student's school records.

FCA reserves the right to administratively withdraw a student if the parent or student does not cooperate with the school or the educational process. We agree that this decision may be made at the sole discretion of the administration. Withdrawing a student from the school does not absolve the parents/guardians from fulfilling the financial contract agreed to.

All fees paid are non-refundable as they cover the cost to perform a service. Additionally, we understand we are under contract to pay all ruture fees agreed upon as a space has been reserved for our student and I understand that FCA makes annual hiring decisions based on my financial contract. I understand tuition payment plans B, C, and D are paid by automatic bank draft. If our bank fails to honor a draft, parents/guardians will be notified and must immediately remove the student from the school and the student may not return until tuition is made current, there are no exceptions.

A fee of $35 will be added to returned checks/drafts.
Primary Parent/Guardian Signature
Secondary Parent/Guardian Signature
Should be Empty:

Student Information

SCHOOL POLICIES

Student History

Information For Records Request

Tuition Payment Options

Initial Fees

Payment Methods