2018 Annual Family Fee and Levies Agreement

2018 Annual Family Fee and Levies Agreement

1. Please complete your family details:

Family Name / Account Number* / 2018 Family Fee
$ 1,320.00 (A)

In 2018 the Student Levy will be inclusive of all costs associated with your child’s specific learning program and therefore will vary depending according to Year Level.

Prep$240.00 (pays for all program costs and excursions)

Years 1 & 2$240.00 (pays for all program costs and excursions)

Years 3 & 4$320.00 (pays for all program costs, sacraments, excursions & big day out)

Year 5$480.00 (pays for all program costs, excursions and camp)

Year 6$560.00 (pays for all program costs, sacraments, excursions and camp)

Children enrolled at school:

First Name / Surname / 2018 Year Level / Student Levy
$
$
$
$
$
LEVY TOTAL / $(B)

TOTAL AMOUNT PAYABLE: $1320 (A FEES ) + (B LEVIES) = ______

2.Camp Sports and Education Fund (CSEF)

Do you have a Veterans Affairs Gold Card or aCentrelink Health Care Card (HCC) or a Pensioner Concession Card (PCC)?

If so, you may be eligible for a CSEF payment of $125 per year for each eligible primary school student enrolled at Good Samaritan.

An application form for the CSEF is attached. Copies are also available from the school office.

CSEF APPLICATIONS MUST BE RECEIVED BY THE END OF TERM 1

You will also need to provide your concession card to the school

when you submit the application form.

3. Please WHEN you will pay the 2018 fees and charges:

☐In Full (payable by the end of Term 1)
☐Per Term (4 payments)
☐Monthly commencing on ____/____/2018 / ☐Fortnightly commencing on ____/____/2018
☐Weekly commencing on ____/____/2018
☐Other, please specify:

4. Please HOW you will pay the 2018 fees and charges:

☐BPAY (Direct Credit to Good Samaritan Catholic Primary School)Biller Code: 125518

Your reference number can be found on the top right-hand corner of your statement.

☐Cash/cheque/credit card/EFTPOS paid at the School Office

☐ Direct Debit

DIRECT DEBIT DETAILS:
BANK/FINANCIAL INSTITUTION
BRANCH
BSB
ACCOUNT NAME
ACCOUNT NUMBER
SIGNATURE

5. AGREEMENT

I / we understand that payment of my / our account is my / our responsibility. If I /we do not commence payment of the account in Term 1, 2018 or organise a mutually acceptable payment arrangement with the School, I / we understand that the full year’s school fees become due and payable immediately.

Should my / our account be placed in the hands of debt recovery consultants, then I / we agree to pay all expenses relating to the recovery of my / our account, and any default debt may be reported to a credit reporting agency.

Parent/Guardian Name(s): ______

Parent/Guardian Signature(s): ______

Date: ______

PLEASE RETURN TO THE SCHOOL OFFICE