Annual Re-enrollment Form

Re-enrollment *

In consideration of the re-enrollment of the children listed in this contract, we, the undersigned, agree to pay the full tuition for the 2021-2022 school year, and we agree to the following terms and conditions:

We (I) agree.

Terms and Conditions

Deposit *

A nonrefundable deposit of $1,700.00 per student ($250 per student for those applying for financial assistance), is to accompany this Re-Enrollment Contract and be returned to the school by February 26, 2021. Options for paying the balance of the tuition are indicated below in this contract.

We (I) agree.

Late Charges *

A one and a half percent (1.5%) per month late fee will be added to all unpaid balances after 30 days. In the event of nonpayment of tuition or other charges, Loudoun Country Day School may, in its sole discretion, deny enrollment, class attendance and participation in school activities, withhold academic reports and transcripts, revoke this Re-Enrollment Contract, and/or dismiss the student from school. All unpaid amounts due may be placed with or collected by or through an attorney at law or collection agency, and we (I) shall be responsible for the payment of Loudoun Country Day School's fees and costs.

We (I) agree.

Withdrawal Notification *

I/We understand that Loudoun Country Day School must be informed, in writing, if a student is to be withdrawn at any time. The School must receive notification by June 1, 2021, or the parents or persons having financial responsibility for that student are liable for the full tuition.

We (I) agree.

Other Conditions *

Loudoun Country Day School reserves the right to defer the grading of a student and withhold credit for courses, transcripts, report cards, recommendations and any other forms of correspondence until the account is fully paid. The issuance of a Re-Enrollment Contract form does not automatically ensure the acceptance of a student. In cases of academic deficiency or unsatisfactory adjustment to school life, the Headmaster may refuse the re-enrollment of a student. Loudoun Country Day School reserves the right to dismiss or suspend at the discretion of the Headmaster, any student whose academic progress or conduct is deemed unsatisfactory. In such cases, the parents or financial guardian remain liable for the full year's tuition. This contract must be submitted by the person(s) having legal custody or financial responsibility (or both) for the child's tuition. A student may be denied entry on the first day of school if satisfactory financial arrangements have not been made.

We (I) agree.

Force Majeure *

The school's duties and obligations under this contract shall be suspended immediately without notice during all periods that the School is closed because of force majeure events including, but not limited to, any fire, act of God, hurricane, war, governmental action, act of terrorism, epidemic, pandemic, or any other event beyond the school's control. If such an event occurs, the school's duties and obligations in this contract will be postponed until such time as the school, in its sole discretion, may safely reopen. In the event that the school cannot reopen due to an event under this clause, the school is under no obligation to refund any portion of the tuition paid.

We (I) agree.

School Policies, Rules and Regulations. *

A successful education program requires a partnership among students, their families and the school. Loudoun Country Day School reserves the right to dismiss without reimbursement of tuition or to deny re-enrollment to any child if it determines that a child's parent(s) or guardian(s) have refused to cooperate with the school or to abide by the school's policies, rules, and regulations. A statement of Parent Rights and Responsibilities is published in the Parent/Student Handbook.

We (I) agree.

Person Financially Responsible for Tuition

Name *

First

Last

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Is there another person in addition to the one listed responsible for tuition? *

Yes
No

Name of additional person responsible for tuition *

First

Last

Is the billing address the same as listed above? *

Yes
No

Billing address of additional person responsible for tuition *

Address Line 1

Address Line 2

City

State

Zip Code

Financial Responsibility *

Is/are the person(s) listed above as financially responsible the person(s) completing and signing this contract?

Yes
No

Person(s) listed on this contract as financially responsible will be required to sign and submit an additional Re-Enrollment Contract binding their financial commitment. This contract will be sent to them directly by the school upon receipt of this online form.

Student Re-enrollment

You must enter students to be enrolled in order of oldest child to youngest child. (Please note: if you are enrolling a sibling for the first time in LCDS, please do not use this form. Admissions will send you a New Student Enrollment Contract).

Oldest Student's ID Number *

Oldest Student's Name *

First

Last

Oldest Student Lives With *

Name of Person Oldest Child Lives With *

First

Last

Relationship to Child *

Oldest Student Grade Enrolling for 2021-2022 *

Oldest Student Payment Option *

Oldest Student Full Payment Option - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance (less $250 discount) due before 5/1/2021
Oldest Student Two Payment Option - $1700 Deposit by 2/26/2021, 60% of total tuition less the deposit due before 7/1/2021, remaining 40% balance due before 1/1/2022.
Oldest Student Ten Payment Option - TRP Mandatory - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance through SMART Ten Payment plan (July-April).
Oldest Student Tuition Assistance Option - TRP Mandatory - $250 Deposit by 2/26/2021, Tuition Assistance Application Required (https://sssbynais.force.com/familyportal/familylogin), 100% of remaining tuition balance through SMART Ten-Payment plan.

Oldest Student's Tuition Refund Plan *

By selecting YES, I agree to participate in the Tuition Refund Plan. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. By selecting NO, I/we understand that no refund or cancellation of the yearly fees will be made by Loudoun Country Day School for absence, withdrawal, or dismissal before the end of the school year for any reason and herewith agree to assume full responsibility for the full annual fees.

Yes, We (I) agree to participate in the Tuition Refund Plan
No, We (I) do NOT choose to participate in the Tuition Refund Plan

Oldest Student's Ten Payment TRP *

Participation in the Tuition Refund Plan is required for SMART Ten-Payment plan participants. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill.

I (We) agree.

Oldest Student's Tuition Assistance *

Participation in the Tuition Refund Plan and SMART Ten-Payment Plan is required for all tuition assistance recipients. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. A tuition assistance application form must be filed with SSS (https://sssbynais.force.com/familyportal/familylogin) before tuition assistance will be considered. For your convenience, a link will be provided in your confirmation email. Tuition assistance awards are based upon demonstrated need and the availability of funds at the time of application.

I (We) agree.

Do you have a second child to enroll? *

Yes
No

Second Oldest Student's ID Number *

Second Oldest Student's Name *

First

Last

Second Oldest Student Lives With

Name of Person Second Oldest Child Lives With *

First

Last

Relationship to Child *

Second Oldest Student Grade Enrolling for 2021-2022 *

Tuition Due (5% discount included)

Second Oldest Student Payment Option *

Second Oldest Student Full Payment Option - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance (less $250 discount) due before 5/1/2021
Second Oldest Student Two Payment Option - $1700 Deposit by 2/26/2021, 60% of total tuition less the deposit due before 7/1/2021, remaining 40% balance due before 1/1/2022.
Second Oldest Student Ten Payment Option - TRP Mandatory - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance through SMART Ten Payment plan (July-April).
Second Oldest Student Tuition Assistance Option - TRP Mandatory - $250 Deposit by 2/26/2021, Tuition Assistance Application Required (https://sssbynais.force.com/familyportal/familylogin), 100% of remaining tuition balance through SMART Ten-Payment plan.

Second Oldest Student's Tuition Refund Plan *

By selecting YES, I agree to participate in the Tuition Refund Plan. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. By selecting NO, I/we understand that no refund or cancellation of the yearly fees will be made by Loudoun Country Day School for absence, withdrawal, or dismissal before the end of the school year for any reason and herewith agree to assume full responsibility for the full annual fees.

Yes, We (I) agree to participate in the Tuition Refund Plan
No, We (I) do NOT choose to participate in the Tuition Refund Plan

Second Oldest Student's Ten Payment TRP *

Participation in the Tuition Refund Plan is required for SMART Ten-Payment plan participants. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill.

I (We) agree.

Second Oldest Student's Tuition Assistance *

Participation in the Tuition Refund Plan and SMART Ten-Payment Plan is required for all tuition assistance recipients. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. A tuition assistance application form must be filed with SSS (https://sssbynais.force.com/familyportal/familylogin) before tuition assistance will be considered. For your convenience, a link will be provided in your confirmation email. Tuition assistance awards are based upon demonstrated need and the availability of funds at the time of application.

I (We) agree.

Do you have a third child to enroll? *

Yes
No

Third Oldest Student's ID Number *

Third Oldest Student's Name *

First

Last

Third Oldest Student Lives With

Name of Person Third Oldest Child Lives With *

First

Last

Relationship to Child *

Third Oldest Student Grade Enrolling for 2021-2022 *

Tuition Due (25% discount included)

Third Oldest Student Payment Option *

Third Oldest Student Full Payment Option - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance (less $250 discount) due before 5/1/2021
Third Oldest Student Two Payment Option - $1700 Deposit by 2/26/2021, 60% of total tuition less the deposit due before 7/1/2021, remaining 40% balance due before 1/1/2022.
Third Oldest Student Ten Payment Option - TRP Mandatory - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance through SMART Ten Payment plan (July-April).
Third Oldest Student Tuition Assistance Option - TRP Mandatory - $250 Deposit by 2/26/2021, Tuition Assistance Application Required (https://sssbynais.force.com/familyportal/familylogin), 100% of remaining tuition balance through SMART Ten-Payment plan.

Third Oldest Student's Tuition Refund Plan *

By selecting YES, I agree to participate in the Tuition Refund Plan. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. By selecting NO, I/we understand that no refund or cancellation of the yearly fees will be made by Loudoun Country Day School for absence, withdrawal, or dismissal before the end of the school year for any reason and herewith agree to assume full responsibility for the full annual fees.

Yes, We (I) agree to participate in the Tuition Refund Plan
No, We (I) do NOT choose to participate in the Tuition Refund Plan

Third Oldest Student's Ten Payment TRP *

Participation in the Tuition Refund Plan is required for SMART Ten-Payment plan participants. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill.

I (We) agree.

Third Oldest Student's Tuition Assistance *

Participation in the Tuition Refund Plan and SMART Ten-Payment Plan is required for all tuition assistance recipients. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. A tuition assistance application form must be filed with SSS (https://sssbynais.force.com/familyportal/familylogin) before tuition assistance will be considered. For your convenience, a link will be provided in your confirmation email. Tuition assistance awards are based upon demonstrated need and the availability of funds at the time of application.

I (We) agree.

Do you have a fourth child to enroll? *

Yes
No

Fourth Oldest Student's ID Number *

Fourth Oldest Student's Name *

First

Last

Fourth Oldest Student Lives With

Name of Person Fourth Oldest Child Lives With *

First

Last

Relationship to Child *

Fourth Oldest Student Grade Enrolling for 2021-2022 (copy) *

Tuition Due (50% discount included)

Fourth Oldest Student Payment Option *

Fourth Oldest Student Full Payment Option - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance (less $250 discount) due before 5/1/2021
Fourth Oldest Student Two Payment Option - $1700 Deposit by 2/26/2021, 60% of total tuition less the deposit due before 7/1/2021, remaining 40% balance due before 1/1/2022.
Fourth Oldest Student Ten Payment Option - TRP Mandatory - $1700 Deposit by 2/26/2021, 100% of remaining tuition balance through SMART Ten Payment plan (July-April).
Fourth Oldest Student Tuition Assistance Option - TRP Mandatory - $250 Deposit by 2/26/2021, Tuition Assistance Application Required (https://sssbynais.force.com/familyportal/familylogin), 100% of remaining tuition balance through SMART Ten-Payment plan.

Fourth Oldest Student's Tuition Refund Plan *

By selecting YES, I agree to participate in the Tuition Refund Plan. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. By selecting NO, I/we understand that no refund or cancellation of the yearly fees will be made by Loudoun Country Day School for absence, withdrawal, or dismissal before the end of the school year for any reason and herewith agree to assume full responsibility for the full annual fees.

Yes, We (I) agree to participate in the Tuition Refund Plan
No, We (I) do NOT choose to participate in the Tuition Refund Plan

Fourth Oldest Student's Ten Payment TRP *

Participation in the Tuition Refund Plan is required for SMART Ten-Payment plan participants. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill.

I (We) agree.

Fourth Oldest Student's Tuition Assistance *

Participation in the Tuition Refund Plan and SMART Ten-Payment Plan is required for all tuition assistance recipients. I/we understand that LCDS will bill the premium to me/us. Premiums for each grade are equal to 1.6% of the tuition. I/we authorize Loudoun Country Day School to collect any claim payment to which we are entitled under the Tuition Refund Plan and to credit our account. I/we agree to pay the School any remaining balance within 30 days after receipt of a final itemized bill. A tuition assistance application form must be filed with SSS (https://sssbynais.force.com/familyportal/familylogin) before tuition assistance will be considered. For your convenience, a link will be provided in your confirmation email. Tuition assistance awards are based upon demonstrated need and the availability of funds at the time of application.

I (We) agree.

Smart Tuition Enrollment Options

Smart Tuition accounts are required for Ten Payment plans, but available also to families choosing Full Payment or Two Payment plans who would like to be able to make credit card or ACH payments for their tuition. For more information about Smart Tuition accounts please call the Business Office or send an email to shannon.krise@lcds.org.

Please rollover my existing Smart Tuition account for my 2021-2022 tuition payments.
I intend to enroll in a new Smart Tuition account by completing the parent registration at www.enrollwithsmart.com.
No Smart Tuition Enrollment; I will send check payments directly to the school for tuition charges.

Smart Tuition Billing Options *

Families enrolled in Smart Tuition for their tuition payments will also be able to view and pay TRP and Bus Charges through their Smart Tuition accounts instead of receiving a monthly statement form LCDS for these charges.

Please bill my TRP and Bus Charges through my Smart Tuition account instead of mailing a statement from LCDS.
Please mail a monthly statement so that I can send payments directly to the school for TRP and Bus Charges.

Enrollment Deposit Payment Methods

If you have any questions about the re-enrollment form, paying the re-enrollment deposit online, or need an alternative method for paying the re-enrollment deposit please contact the school. We are pleased to offer two different electronic payment methods for your deposit:

Electronic Checks ACH - No processing fee.
Credit Cards - Are assessed a processing fee of 2.85%.

Parent's Commitment to Truthfulness in the Admissions & Enrollment Process *

The school is relying on the completeness and truthfulness of the information provided by the parent in the admissions and enrollment process. If the school is made aware after the student has been admitted and enrolled that the parent was not truthful in the admissions and enrollment process on any issue that the school, in its sole discretion, finds to be important, the school has the right to terminate the contract. There will be no refund of tuition where such termination occurs and any unpaid balance is payable in full according to the terms of this contract.

I agree.

Authority *

Each party represents and warrants to the other (1) that it has full power to enter into and perform its obligations under this contract; and (2) that this contract constitutes its legal, valid, and binding obligation, enforceable in accordance with its terms. Parents in two-parent households agree that each is acting as agent for the other. Modifications of this agency relationship shall be in writing and delivered to the school. No oral modifications will be recognized or accepted.

I agree.

Affirmation *

I affirm that entering my name and phone number below constitutes an electronic signature of this form. Agreements will not be processed until the form and required deposit is received.

I agree.

Full name of person completing this form *

Phone number of person completing this form *

Clicking the "Submit" button below will submit your re-enrollment contract and take you to our electronic payment service. Agreements will not be processed and your child's space is not guaranteed unless the form and deposit are received by Friday, February 26, 2021.

Total Deposit Due 2/26/21

$ 0.00

2021-2022 Re-enrollment Contract

Terms and Conditions

Person Financially Responsible for Tuition

Student Re-enrollment

Enrollment Deposit Payment Methods