Mountain Academy 2025-2026Enrollment Registration Form Name * First Name Last Name Email * Phone (###) ### #### What is your mailing address? What are the names and birthdates of your scholar(s) you're enrolling? * Please list (3) Emergency Contacts, their relationship to the child(ren), and their phone numbers? * Please list your family doctor's name and phone number? * School Schedule Acknowledgment * Our new schedule is Monday - Thursday, 9:00am-2:30pm. Does this schedule work for your family? Yes No Which tier of enrollment works best for your family? * (Please refer to the Welcome Letter for details) Tier 1 (Full-time, mentor led instruction) Tier 2 (Parent-led instruction) Which payment plan option works best for you? * 9 month plan 12 month plan Our new billing system requires that families set up their monthly payments via Automatic Deduction or Bill Pay with their banking institution of choice. * You'll need the Mountain academy bank Routing Number to set this up with your bank. It's easy to do and can typically be done online or in-person. Do you agree to these terms of enrollment? Which automatic payment form do you plan to use for tuition? Venmo (the % fee is paid by each family) (Preferred) Automatic Deduction (where they automatically transfer funds) Bill Pay (where they mail a check to the school on the same date each month) I have read and agree to abiding by the Mountain Academy Policies as stated in the Parent-Scholar Handbook? * I agree I do not agree Have you read and agree to the Technology and Internet Use policy in our Parent Handbook? * Yes, I have and agree to it. No I have not Have you read and agree to the Sexual Ethics Policy of Mountain Academy found in the Handbook? * Yes No Media Release Consent * At Mountain Academy, we may photograph or video students during school activities, classroom projects, field trips, performances, and special events. These images may be used in: school, newsletters and printed materials, the Mountain Academy, website or social media accounts, educational, or promotional content. We value and respect your family's privacy. Please select one of the options below: Yes, I give permission for Mountain Academy to photograph, video record, and or publish my child's image, name, and or work for school related purposes as described above. Yes, with limitations: I give permission, but please do not: ( e.g use full name, post to social media, include video, etc.) No, I do not give permission for my child's image, name, or work to be used in any public facing school media. I have read and agree to the Illness policy in the handbook Yes No Do you acknowledge and agree to our Field Trip policy found in the handbook which is that parents are responsible for transport of their children to and from field trips trip. I acknowledge that written permission is required for children to ride with another adult attending the field trip. * Yes, I understand and agree to this policy No This year, our uniform policy has changed slightly * The scholars may wear any of their previous uniform colors & styles (red, navy blue, gray, white, black; collared shirts, slacks, etc). Additionally, the scholars may now wear any clothing that has our official Mountain Academy brand on it (this incudes our new MA joggers, shorts, t-shirts, etc.) I understand that if my scholar comes to school in anything other than the prescribed uniform, that parents will be asked to come & provide uniform code clothing? Yes, I understand the changes to the preexisting uniform policy I do not understand Thank you! We’re looking forward to another amazing school year at Mountain Academy!
