INSPIRE ACADEMY - TUITION AND FEE SCHEDULE SCHOOL YEAR 2020 2021

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INSPIRE ACADEMY - TUITION AND FEE SCHEDULE SCHOOL YEAR 2020 2021
A Safe Place to Learn
                                                                           817-803-5010
                                                                    inspireacademytx.com
                                                               dana@inspireacademytx.com

 INSPIRE ACADEMY – TUITION AND FEE SCHEDULE
                       SCHOOL YEAR 2020 – 2021
 For the school year of 2020-21, Inspire Academy is pleased announce that there is no
increase in the annual tuition. Tuition payment options including installment plans have
                                  also been developed.
Included are a few important           Please initial next to each note to show
notes:                                    understanding and acceptance.

• A Tuition Payment Plan is due no later than July 1 or upon acceptance, whichever
is later. Payments by cash or check can be accepted at any time; these will simply be
applied to your Payment Plan balance.
• Inspire Academy operates on fiscal year basis of July to
July.
• The payment options listed are created to accommodate our existing and future
family’s financial situations.
• Discounts (25% reduction on tuition after the first child) are available to
families with multiple children enrolled at Inspire. These are applicable for full-
time students only.
• Uniforms, lunch, school supplies, various activities and miscellaneous expenses
are not included in tuition. School supply packs will be available for purchase
during Orientation Night.
• Scholarships (limited) and special accommodations are possible and will be
considered on a case by case situation. Please inquire directly to Mrs. Dana Judd for
details.
• Tuition is Non-Refundable whether a student withdrawal is voluntary or involuntary.
Exceptions to this policy can be considered directly with Mrs. Dana Judd.
Expectations are that a student’s account is paid in full prior to the exception being
considered.
• It is not the preference of Inspire Academy to exercise this option but all unpaid
tuition accounts may be subject to referral to collection agency of their choice.
A Safe Place to Learn
                                                                           817-803-5010
                                                                   inspireacademytx.com
                                                              dana@inspireacademytx.com

• Annual Registration Fee and School Supply Fee are required at time of enrollment
for new and existing students. Deadline is April 15, 2020 or upon acceptance to Inspire
Academy. All fees are non-refundable.
• All accounts must be current before re-enrollment can be offered, report cards
issued or release of transcripts. Students will not be admitted unless tuition
payments are current.

Payment Plan Options consist of the following:
     1. Pay tuition in full by July 1
     2. Pay tuition in three (3) installments by the first of each month; July, Nov,
         March
     3. Pay tuition in nine (9) installments by the first of each month; July – March
     Note: Installment payments are due no later than the 5th of each month, a late fee
     of $25 will be applied thereafter.

                                                     PP Option 2           PP Option 3
                                PP Option 1
                                                   (3) Installments      (9) Installments
                              Single Payment
                                                   (ex: July / Nov. /       (ex: July –
                                 (ex: July)
                                                        March)                March)
    Registration Fee                $250                 $250                  $250
 Curriculum/Technology
                                    $350                 $350                    $350
           Fee
      Kindergarten                $11,000               $11,825                $12,100
       Elementary                 $13,000               $13,975                $14,300
      Intermediate                $15,000               $16,125                $16,500
      Homeschool
       Elementary                  $7,200               $7,740                 $7,920
  (Tuesday/Thursday)
     Middle School                $15,000               $16,125                $16,500
       High School                $15,000               $16,125                $16,500
                 (Installment plans include a finance charge of 7.5% or 10%)
A Safe Place to Learn
                                                                              817-803-5010
                                                                      inspireacademytx.com
                                                                 dana@inspireacademytx.com

               Please designate which option best fits your family.

Which grade level?
    Kindergarten
    Elementary
    Elementary Homeschool (Tuesday/Thursday)
    Intermediate
    Middle School
    High School
Which payment plan?
    Plan 1
    Plan 2
    Plan 3

                                     Fee’s and Discounts

            •   Families will need to pay the $250 registration and $350 Curriculum/Technology
                                                  fee per child.
           •    $125 application fee applied to the registrations fee upon acceptance for all new
                                                     families.
                       • Multi-Child and Pastoral discounts on case by case basis.

Student(s) Name(s):

Signature: ____________________________________________________________________________

Printed name: _________________________________________________________________________

Date signed: __________________________________________________________________________
A Safe Place to Learn
                                                                         817-803-5010
                                                                inspireacademytx.com
                                                           dana@inspireacademytx.com

  For office use only:

                         PP Option 1      PP Option 2        PP Option 3
                            Single      (3) Installments   (9) Installments
                                                                                 Discounts
                           Payment      (ex: July / Nov.      (ex: July –
                          ( ex: July)        / March)           March)

   Registration Fee         $250             $250                 $250
                                                                                   NONE
Curriculum/Technology       $350             $350                 $350

    Kindergarten

     Elementary

    Intermediate

    Homeschool
 (Tuesday/Thursday)

    Middle School

     High School

      Total Due
A Safe Place to Learn
                                                                                   817-803-5010
                                                                          inspireacademytx.com
                                                                     dana@inspireacademytx.com

                            REGISTRATION FORMS
Students name: ________________________________________________________________________

Date of Birth: __________________________________________________________________________

Address: _____________________________________________________________________________

_____________________________________________________________________________________

City: _________________________________ State: ________________ Zip code: __________________

E-mail Address: ________________________________________________________________________

Cell Phone Number: ____________________________________________________________________

Work Phone Number: ___________________________________________________________________

Date of Birth: __________________________________________________________________________

Church Family Attends: __________________________________________________________________

Previous Schools: ______________________________________________________________________

                   *   Last Year of Report card and previous testing may be requested

 Inspire Academy may contact previous educational institutions or character references if necessary to
                     determine appropriateness for admittance to the school.

Signature: ____________________________________________________________________________

Printed name: _________________________________________________________________________

Date signed: __________________________________________________________________________
A Safe Place to Learn
                                                                         817-803-5010
                                                                  inspireacademytx.com
                                                             dana@inspireacademytx.com

MEDICAL INFORMATION AND EMERGENCY CONTACTS

Food and Medical Allergies: ______________________________________________________________

Daily Medications: _____________________________________________________________________

Medical illnesses: ______________________________________________________________________

Primary Doctor: ________________________________________________________________________

Doctor’s phone number: ________________________________________________________________

* COPY OF SHOT RECORDS OR WAIVER IS REQUIRED

Insurance Company: ____________________________________________________________________

Policy Number: ________________________________________________________________________

Pre-Authorization number: ______________________________________________________________

Main Emergency Contact: _______________________________________________________________

Relation to Student: ____________________________________________________________________

Phone Number: _______________________________________________________________________

Alternate Emergency Contact: ____________________________________________________________

Relation to Student: ____________________________________________________________________

Phone Number: _______________________________________________________________________
A Safe Place to Learn
                                                                                    817-803-5010
                                                                           inspireacademytx.com
                                                                      dana@inspireacademytx.com

If an accident should occur, and I am unable to be contacted, I authorize my child to be treated by
certified medical personnel (i.e. EMT, First Responders or physician) to order injections, anesthesia or
surgery as deemed necessary for the before-mentioned student. I further agree on behalf of myself and
my child, to not hold Inspire Academy or staff legally responsible or liable for the accident or injury
sustained by the before-mentioned student.

Signature: ____________________________________________________________________________

Printed name: _________________________________________________________________________

Date signed: __________________________________________________________________________
A Safe Place to Learn
                                                                                    817-803-5010
                                                                          inspireacademytx.com
                                                                     dana@inspireacademytx.com

                                     Reference Page
   Please give to a pastor, teacher, or other person who can speak to the character of the student.

Student Name: _______________________________Reference Name: __________________________
Please indicate your opinion of student by circling your response:

   Interest in                                                        Minor
                     Outstanding     Excellent       Active                          No Participation
    Activities                                                     Participation

                                                   Capable,          No sign of
 Leadership &
                     Outstanding     Excellent      Minor           leadership         Irresponsible
 Responsibility
                                                   Positions       involvement

                                                   Generally       Occasionally
 Initiative, Drive   Outstanding     Excellent                                          Very Weak
                                                    Strong            Weak

                        Highly                      Accepted
      Peer                           Respected,                   Some difficulty        Unskilled
                      respected,                     but not
  Relationships                         liked                       cultivating       interpersonally
                       well liked                  sought out

   Emotional          Extremely       Well-        Usually no
                                                                 Some problems        Many problems
    Stability        well-balanced   balanced      problems

   Respect for                                                       Periodic          Rebellious to
                     Outstanding     Excellent      Average
    Authority                                                     rebelliousness        authority

    Parental
                     Outstanding     Excellent      Average          Marginal              Poor
    Support

Comments:___________________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________

Signature: ____________________________________________________________________________
How do you know the student? _________________________________________________________
A Safe Place to Learn
                                                                                       817-803-5010
                                                                              inspireacademytx.com
                                                                         dana@inspireacademytx.com

                    OVER THE COUNTER MEDICATION ADMINISTRATION

                                       Permission Form 2020-2021

I request that ________________________________ be assisted by the Inspire Academy school
designee, to receive the following stocked over the counter medications as needed during school hours.

Please check-mark each authorized medication. No medication will be administered without parental
permission.

❏ Tylenol - liquid: dosed by weight. Child weighs:_________lbs. *

❏ Jr. Strength Chewable Tylenol / Acetaminophen 160 mg tablets*

❏ Tylenol / Acetaminophen 325 mg tablets ❏ Ibuprofen - liquid: dosed by weight. Child
weighs:_________lbs

❏ Ibuprofen 200 mg tablets

❏ Antacid Tablets (Calcium Carbonate)

❏ Cough Drops

❏ 1% Hydrocortisone Cream

❏ Triple Antibiotic 1st Aid Ointment (Neomycin, Polymyxin, Bacitracin)

❏ Benadryl – liquid: dosed by weight. Child weighs:_________lbs (For use if an allergic reaction)

*Tylenol liquid and Jr. Strength Chewable Tylenol may be interchanged based upon the discretion of the
staff and the ability of the student, unless expressly stated otherwise by parent/guardian. We the parents,
authorize the school designee, to assist our child in taking the above oral or topical medications and agree
that we will not hold liable any member of the school staff who is directed by us (the parents) and the
School Director to assist our child in taking said oral or topical medication.

❏ Do NOT administer any over the counter medications to my child.

____________________________________________________________ _________________

Parent / Guardian Signature                                                         Date
A Safe Place to Learn
                                                                                           817-803-5010
                                                                                 inspireacademytx.com
                                                                            dana@inspireacademytx.com

               Social Media Contract
  •   I will not engage in online bullying, including making unkind comments toward others.

  •   I will let an adult know if I am a victim of online bullying

  •   I will meet academic standards set by Inspire academy or risk losing privileges

  •   I understand posting certain types of photos or information on social media sites is punishable by law

  •   I will follow Inspire Academy’s guidelines regarding cell phone use during school hours

  •   I will not post or share offensive or inappropriate images, languages, videos, or other content

  •   I agree to be respectful of myself and others in the words and images I use. This includes agreeing not to
      use social media to mock, tease, embarrass, gossip, or reveal secrets.

  •   I agree to acknowledge that everything I put online is permanently available, even if it can be immediately
      deleted or hidden.

  •   I understand that people who know technology well can access images and words that have been deleted
      even if the app tells you otherwise

  •   I understand that even private messages can be copied and pasted somewhere else

  •   I understand that even when I am grown and an adult, someone can look my name up and find everything
      I’ve ever put online

  •   I understand that if my academics begin to suffer from my internet usage, Inspire Academy has the right
      to take away your social media privilege at school.

  •   Cell phones will be taken up at arrival and returned when dismissed for the day.

  •   I will be held responsible for everything I say and do on my social media accounts

Printed name:

Signature:
A Safe Place to Learn
                                                                 817-803-5010
                                                          inspireacademytx.com
                                                     dana@inspireacademytx.com

   We Believe-
1. The Bible to be the inspired, only infallible, authoritative, inerrant Word of
   God. (2 Timothy 3:16, 2 Peter 1:21)
2. There is one God, eternally existent in three persons - Father, Son and Holy
   Spirit. (Genesis 1:1, Matthew 28:19, John 10:30)
3. In the deity of Christ (John 10:33), His virgin birth (Isaiah 7:14, Matthew
   1:23, Luke 1:35), His sinless life (Hebrews 4:15, 7:26), His miracles (John
   2:11), His vicarious and atoning death (1 Corinthians 15:3, Hebrews 2:9),
   His resurrection (John 11:25, 2 Corinthians 13:4), His ascension to the
   right hand of the Father (Mark 16:19), and His personal return in power
   and glory. (Acts 1:11, Revelation 19:11)
4. In the absolute necessity of regeneration by the Holy Spirit for salvation
   because of the exceeding sinfulness of human nature and that men are
   justified on the single ground of faith in the shed blood of Christ and that
   only by God's grace and through faith we are saved. (John 3:16-21, 5:24,
   Romans 3:23, 5:8-9, Ephesians 2:3-10, Titus 3:5)
5. In the resurrection of both the saved and the lost; the saved unto the
   resurrection of life and the lost unto the resurrection of damnation. (John
   5:28-29)
6. In the spiritual unity of believers in our Lord Jesus Christ.(Romans 8:9, 1
   Corinthians 12:12-13, Galatians 3:26-28)
7. In the present ministry of the Holy Spirit, by whose indwelling the
   Christian is enabled to live a godly life. (Romans 8:13-14, 1 Corinthians
   3:16, 6:19-20, Ephesians 4:30, 5:18)
8. Marriage that is the union sanctioned by God, which joins one man and one
   woman in a single, exclusive, covenantal union, as delineated by
   Scripture. Sexual intimacy should only occur between a man and a woman
   who are married to each other. No intimate sexual activity should be
   engaged in outside of a marriage between a man and a woman. (Genesis
   2:18-25, Ephesians 5:22-33, Hebrews 13:4)
A Safe Place to Learn
                                                                              817-803-5010
                                                                      inspireacademytx.com
                                                                 dana@inspireacademytx.com

                      CORE VALUES
  •   Attending Inspire Academy offers many exciting educational opportunities; therefore,
      certain standards and requirements must be maintained. It is not a corrective institution;
      and, consequently, does not accept students who have been expelled or suspended
      from other institutions, who have habitually used tobacco, alcohol, or other drugs, who
      have run away from home, who have been involved in gang activities, or who have been
      arrested
  •   Inspire Academy will strive to instill a desire for excellence in the academic disciplines
      and the skills required for higher education and future employment.

  •   The mission of Inspire Academy is to train students academically and spiritually to
      discover and achieve their destiny

  •   Students will offer evidence of potential academic success.

  •   Students will offer evidence of high moral character, academic potential, emotional
      stability, a satisfactory behavior record, respect for authority, and adequate social
      adjustment.

  •   Parent(s) commit to support the work of the school through prayer, volunteerism, and
      financial contributions.

  •   Parent(s) understand and agree with the mission and philosophy of the school.

  •   Students and parents will be held accountable for their posts on social media

  •   A “3 Strikes” behavior program will be enforced. Inspire Academy is unable to allow
      students with aggressive behavior and excessive disrespectful actions to remain. This is
      for the safety of all students and staff.

Printed name:

Signature:
A Safe Place to Learn
                                                                      817-803-5010
                                                               inspireacademytx.com
                                                          dana@inspireacademytx.com

   NOTICE TO STUDENTS, PARENTS AND STAFF
 REGARDING THE USE OF CAMERA SURVEILLANCE
           ON SCHOOL PROPERTY
   • For the safety of our students, staff and visitors, Inspire Academy
     employs camera surveillance equipment for security purposes. This
     equipment may or may not be monitored at any time.
   • Surveillance cameras will generally be utilized only in public areas
     where there is no “reasonable expectation of privacy.” Public areas
     may include classrooms; building entrances; hallways; parking
     lots; front offices where students, employees, and parents come
     and go; cafeterias; and lounge areas.
   • Surveillance cameras will not be installed in “private” areas such
          as restrooms or changing areas.
Student:

Signature: ___________________________________________________________________

Printed name: ________________________________________________________________

Date signed: __________________________________________________________________

Parent:

Signature: ___________________________________________________________________

Printed name: ________________________________________________________________

Date signed: __________________________________________________________________
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