Bija Fulton Street Afterschool 2017 - 2018 Payment ContractYour Name* First Last Your Child's Name* First Last Your Child's Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Preferred Contact Phone Number*Preferred Contact Email* Select Your Confirmed ScheduleSelect Days of the Week*5 Days a Week: Monday - Friday3 Days a Week: Monday, Wednesday, Friday2 Days a Week: Tuesday - ThursdaySelect Enrollment Period* Fall Session (September - December) Winter Session (January - March) Spring Session (April - June) Select Pick Up Location*PS 11PS 56Your Child's Classroom + Teacher*Payment PoliciesBija requires a 10% deposit to reserve an afterschool space. No refunds will be issued for afterschool deposits for any reason. Bija does not offer refunds for any reason. Families are responsible for all tuition payments for the duration of their afterschool enrollment even if they choose to withdraw early. Payments will be charged to the card on file. Payments received more than 10 days late will result in a $100 administrative charge. Schedule Changes All schedule additions require immediate payment of tuition adjustments (adding days). Schedule deductions may be made (shorting number of days of per week) but tuition will not be reduced. No payment adjustments will be made for travel, illness or any other missed school days. Payment Installment AgreementName* First Last Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature* By signing and submitting this contract I understand and agree to Bija's policies, including payment policies. I understand that a 10% non-refundable tuition deposit is required to confirm my space. If I have already paid a 10% deposit, I will not be charged for the deposit again. I understand that schedule updates can be made only if space permits. I understand that monthly tuition payments begin on September 1st for fall session, January 1st for winter session and April 1st for spring session.