Enrollment Form






Please print and mail or fax along with your down payment.


First Name Last MI Gender: M/F
Address     
City           State Zip
Country     
Phone: (Area Code)   


Has the student attended school before?  Y/N   
If yes, what grades?

(Public) :         K 1 2 3 4 5 6 7 8 9 10 11 12
(Private):         K 1 2 3 4 5 6 7 8 9 10 11 12
(Homeschool): K 1 2 3 4 5 6 7 8 9 10 11 12

Student's Birth Date (mm/dd/yy):

Current grade level:                     
SEASCAPE entering grade:          


Is the student enrolling in a special needs program? If so, please mark the appropriate box.
Special Needs Program            
Special Needs/Deaf Program    
SEASCAPE beginning month:   
Last School Attended:             
Last School Address:              


Father's Name:                             
Address:                                       
An email from either parent is required to receive assignment schedules, progress reports,...etc.
Email: (Required)                          
Home Phone: (Area Code):            
Employer                                     
Business Phone (Area Code):        

Mother's Name                             
Address:                                       
An email from either parent is required to receive assignment schedules, progress reports,...etc.
Email:   (Required)                        
Home Phone (Area Code):             
Employer:                                     
Business Phone (Area Code)  :      


Brothers/Sisters:       1 2 3 4 5
Does the student have a health problem? (Y/N)
If yes, please specify:   



Who will be the teacher?                  
Highest level of education achieved: 


If my application for enrollment in Seascape Private School is accepted, I will comply with all requirements regarding reports, fees, and instruction. I understand that failure to do so will result in the cancellation of enrollment and loss of credits.


PARENT SIGNATURE
_______________________________________________DATE______________





YEARLY FEES:
(All textbooks, workbooks, and course outlines are supplied)

 
Kindergarten:
 
($700.00 per year)
 $260.00 downpayment at time of enrollment
 and 8 monthly payments of $50.00 thereafter.


 
Grades 1-6:
 
($755.00 per year)
 $260.00 downpayment at time of enrollment
 and 9 monthly payments of $55.00 thereafter.



Grades 7-8:

($800.00 per year)
$260.00 downpayment at time of enrollment
and 9 monthly payments of $60.00 thereafter.


 
Special Needs/ Deaf Program:

 ($850.00 per year)
 $350.00 downpayment at time of enrollment
 and 9 monthly payments of $50.00 thereafter.





Check ONE of the following methods of payment:
(Please make checks payable to: SEASCAPE EDUCATIONAL SERVICES)


 I will pay by Money Order          I will pay by Check



MC  Visa  Discover #    Expiration Date:    Amount $

Name on Card :   Signature :   Date:


*A 5% processing fee is added to all credit card payments


Mail to: Seascape Private School, Post Office Box 1014 Thousand Oaks, California USA 91358
Fax to: (818) 224-7133



ENROLLMENT FORMS CONTINUED(click here)