MMCS Enrollment Form

MMCS Enrollment Form

Please complete this enrollment form in full. All information will be used for school records, emergency response, and billing. Completion of this form constitutes agreement with the enrollment terms, financial responsibility statement, and policies contained herein.

Student Information

Date of Birth:    Student ID:

Enrollment Type: Full-time Part-time    Requested Start Date:

Parent / Guardian Information

Relationship:    Phone:    Email:

Relationship:    Phone:    Email:

Emergency Contacts

Relationship:    Phone:

Relationship:    Phone:

Medical Information & Authorization

Physician Phone:    Insurance Provider:    Policy Number:

I authorize MMCS staff to administer the medications listed above in accordance with the school's medication administration policy and to seek emergency medical treatment if necessary. I understand that the school will attempt to contact the parent/guardian and emergency contacts prior to hospital transport when practicable. By checking the box below, I grant authorization for emergency treatment. I authorize emergency medical treatment

Enrollment Details & Financial Responsibility

Pre-K Elementary Middle School Other:

Annual Per Semester Monthly

By signing this form, the undersigned accepts financial responsibility for all tuition, fees, and charges assessed to the student's account. Tuition is due according to the chosen payment schedule. Late payments may incur late fees and collection costs. Withdrawals must be submitted in writing and are subject to the school's withdrawal and refund policy described below. Returned checks will incur a fee and may result in a requirement for alternative payment methods.

Records Release & Media Consent

I authorize MMCS to obtain and retain records necessary for enrollment, including academic transcripts, immunization records, and prior school disciplinary records. I further grant MMCS permission to disclose educational records to third parties when required for educational placement, public health, or safety, pursuant to school policy.

Media Consent: I authorize MMCS to use photographs, audio recordings, or video of the student for internal educational purposes, classroom projects, and school publications or promotional materials unless I decline below. I decline media consent

Field Trip & Activity Authorization

I authorize my child to participate in school-sponsored field trips and off-site activities during the school year. The school will provide notice of trip details and required supervision. For emergency medical care during an activity, I authorize school personnel to act as necessary to obtain treatment.

Special considerations or restrictions for field trips (dietary, medical, supervision):

Acknowledgments and Certifications

By signing below, the undersigned certifies that the information provided on this form is true and complete to the best of their knowledge. The undersigned agrees to comply with MMCS policies and procedures, including attendance, academic expectations, student code of conduct, and technology use policies. The undersigned acknowledges responsibility for timely payment of tuition and fees and understands that false or misleading information may be grounds for denial of enrollment or dismissal.

The undersigned further agrees to indemnify and hold harmless MMCS, its employees, agents, and volunteers from liability for injuries, claims, costs, and expenses arising from the student's actions except to the extent arising from the school's gross negligence or willful misconduct.

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