BENSALEM BAPTIST SCHOOL  

ENROLLMENT FORM

2008-2009

Student's Name  

Address  

Home Phone Number  

Anticipated Grade For Next Year  

It is my desre to enroll my child in the Bensalem Baptist School for the 2007-2008 school year.  

Payment by check should be delivered to the school    Pay by Check

payment by cash should be delivered to the school      Pay by Cash  

Payment by credit is only available online     Pay by Credit

(Credit card otion via paypal will be available at the end of the enorllment process)

*Parent Signature  

Date  

*Filling in this box will be recognized as an official signature.  

Registration Fee For Each Child:  (Non-Refundable)

       $100.00 by June 1

       $150.00 by July 1

       $200.00 After July 1

*Enrollment date will be recognized when both form and payment are   received by the school office.