Dear Westside parent,
Registration time is upon us and we are looking forward to another opportunity to partner with you next year in
“training up your child in the way” he/she should go (Prov. 22:6).
One of the values we embrace here at Westside is the idea of “continuous improvement.” We regularly examine
our programs and practices to see where we are doing well and how to continue with excellence, as well as consider
how to grow in our ability to offer an outstanding education to our families.
To augment our curricular programs, we are adding AP World History and AP Language and Composition to our
Jump Year offerings, which means your child can receive college credit through Warner Pacific. We also hope to
offer an Introduction to Business class and Chinese I (Mandarin). We hope that the business class will become part
of a business track that we are able to offer our students, and that the Chinese I class will lead to more advanced
classes in the coming years.
st
Our goal is to continue to provide an excellent and rich high school experience, which includes providing a 21​
century learning experience. I am excited to announce a 1:1 laptop program, where every student will be provided
with a device that will be assigned to them, which they can use for as long as they are enrolled as a student at
Westside. Next year, we hope to provide multiple opportunities for students to see technology integrated to a
greater degree in their classes, and the following year we will begin to adopt e-books. We have a technology
committee right now going through a device selection process, as well as researching and designing a program for
implementation and maintenance. Please pray as we are working hard to provide this experience for our students
and staff in the upcoming year.
Another exciting development for the 2015-16 is working on Phase I of the library. Over the summer, we hope to
begin making changes to that space that will make it useful as a study and teaching and learning area for students
and staff to utilize in support of academic excellence.
To support our continued educational offerings as well as growth, tuition for 2015-16 has been set at $11,455.
(Note: All tuition dollars are used to cover operating costs of the school and are not used for any building
projects.) To support the 1:1 personal device initiative, the book and technology fee will increase by $425. We know
it is a privilege that you have chosen us to educate your child(ren), one which we don’t take lightly. It is my goal to
steward every dollar of the budget with integrity, knowing that many are making sacrifices for your children to be at
Westside.
Now I invite you to go to ​
meetme.so/WestsideChristian​
and sign up for a 20-minute registration appointment on
April 1, 2, 6, or 7. You will receive $50 off your registration fee by going through this on-campus process. We look
forward to seeing you there!
Sincerely,
Deborah J. Miller Ed.D. 8200 SW Pfaffle Street, Tigard, OR 97223
Phone: 503.697.4711
Fax: 503.697.4605
www.wchsonline.org
Electronic Registration Packet Table of Contents
In addition to the personalized registration and health forms that you received in the mail, please print, complete,
and bring these forms with you to your registration appointment.
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2015-2016 Registration Process
Westside Legacy Fund Pledge Commitment Form
ACH Authorization (Automatic Withdrawal)
Volunteer Form
2015-2016 Payment Agreement
All School Permission Form
Young Life Senior Retreat and Senior Trip Permission Form (12th graders only)
Vehicle Registration Form
Senior Off Campus Lunch Permission Form (12th graders only)
2015-2016 REGISTRATION PROCESS
In order to offer a registration process that is more efficient, more personal, and leaves fewer loose ends, we are
going to once again hold the event at school during April 1-7. You will receive $50 off your $250 registration fee
by going through this on-campus process.
Before you come:
[ ] ​
Book a 20-minute appointment online at​
meetme.so/WestsideChristian​
​
.
[ ] ​
Make sure that ALL forms are completed ​
prior​
to your appointment. Some forms are enclosed in this
mailing. The rest will be available electronically and ​
must​
be downloaded and printed from
www.wchsonline.org/registration​
. The electronic pdf also contains 2015-16 tuition and fee information. Please
bring this checklist with you to your registration appointment.
_____________________________________________________________________________
Complete the streamlined on-premise 3-station registration process:
[ ] STATION 1: Check-in ​
(Denise Moyer/receptionist)​
:
❏ Pay your discounted registration fee of $200 per student (non-refundable) by cash or check. Online credit
card payments are accepted with an additional 3% convenience fee.
❏ Indicate your preferences for volunteering. We depend on, and delight in, working alongside parent
volunteers. FORM IN PDF FILE
❏ Turn in vehicle registration and fee (separate check), if your child is planning to drive next year.
❏ Confirm that all paperwork is completely filled out.
[
] STATION 2:​
Scheduling and Host Families​
​
(Scott Ball & Caroline Hottmann):
❏ Confirm your child’s ​
forecasted​
classes for next year. Based on these forecasts, a master schedule will be
created and accessible on our website at a later date. If you need to discuss overall graduation course
planning for your child, an individual appointment can be scheduled for a later date.
❏ Inquire about hosting an international student
[
] STATION 3: Registration and Westside Legacy Fund ​
(Brett Meyers & Deb Givens):
❏ Turn in your completed and/or corrected Registration Form and Health Information and Medical
History Form - FORMS MAILED
❏ In red pen, please correct and/or add any information that has changed since last year’s registration. Fill
in the remaining information where applicable, sign, and date.
*NOTE: The health form must be signed by the parent providing primary insurance.
❏ Turn in the completed payment agreement form indicating your payment plan of choice. Early payment
discounts are offered for annual and semi-annual payments. FORMS IN PDF FILE
❏ Turn in signed permission forms. FORMS IN PDF FILE
❏ Please indicate your commitment to participate in Westside’s major fundraiser that supports school
operations and financial aid scholarships - the Westside Legacy Fund. FORM IN PDF FILE
Legacy Fund
The Legacy Fund is Westside’s annual fundraiser, and allows us to move the vision of our school forward in the
midst of rising costs. As in nearly all private schools, tuition at Westside does not cover the full cost of educating a
student. Gifts to ​
The Westside Legacy Fund​
help bridge the gap. Our desire is to keep a WCHS education within reach
for the greatest number of families without compromising Westside’s commitment to excellence. We hope that
after prayer and consideration, one of the below options is suitable for your family.
Here are ways you can help:
A $600 gift or pledge ($100 per month, July - December)​
~ The simplest way to help is to make a
minimum $600 per student gift or pledge to the ​
Westside Legacy Fund​
. This offsets the per student cost of a
Westside education ​
and​
is a tax-deductible* gift.
Make a gift and invite others to participate ~ ​
Consider pledging a gift, and then share the stories of
what God has been doing at Westside with friends and family and invite them to help you reach the goal of
a $600 contribution per student. Pledge forms will be available at registration or from office staff.
How much should I give?
We appreciate​
that every family has a different financial situation and ask that you prayerfully consider how you
​
wish to support Westside this year. The average amount needed per student to meet our budget is $600.
As in previous years, if you are not able to give the entire $600 gift above tuition, we ask that you participate in our
fundraising effort by ​
giving what you can​
and then asking others to support our mission through charitable
contributions to the school.
How can I give a gift?
Donations may be made as a one-time gift, or may be spread out into six monthly installments between July and
December, or two quarterly installments (summer and fall). If you’d like to give monthly, please complete the ACH
Payment Authorization form to make an automatic bank withdrawal separate from your tuition payment.
My company provides matching gifts. Can I direct this to Westside as well?
Please do! Westside is a 501(c)(3) organization and will benefit twice from your generosity with a matching gift
from your employer. You will need to fill out your company's matching gift donation form and send it to us.
Matching gift programs are a wonderful way to double your giving.
Any other questions?
Feel free to call Deb Givens at 503.697.4711 X 1244 or email ​
[email protected]​
.
* Your donation is tax-deductible to the fullest extent of the law.
WESTSIDE LEGACY FUND PLEDGE COMMITMENT
Student Name: _________________________________________________
The numbers below illustrate the actual 2015-16 cost to educate one student:
2015–2016 Westside Costs for one student:
Cost of educating one student:
Tuition & Fees
Difference
Other giving
Legacy Fund
-
$13,430
$12,180
$ 1,250
$ 650
$ 600
PLEDGE SUMMARY
It is my/our firm commitment, as the Lord makes possible, to contribute to the Westside Legacy Fund as I have
indicated below:
Westside Legacy Fund
We ask that this pledge be paid by December 31, 2015 (can be spread over a 6-month period). You may opt to raise
part of this gift by gathering pledges from your personal contacts (pledge forms will be provided upon request).
[ ] I/we commit to making a ​
$600 gift ​
or pledge to the ​
Westside Legacy Fund​
.
This pledge will be paid [ ] as a lump sum [ ] monthly [ ] quarterly beginning on
_______(date) and ending on _______(date).
[ ] I/we have the desire to help bridge the gap with an ​
additional gift* ​
(beyond the $600 recommended
amount) by committing a $______ gift or pledge to the ​
Westside Legacy Fund​
.
This pledge will be paid [ ] as a lump sum [ ] monthly [ ] quarterly beginning on _______(date) and
ending on _______(date).
[ ] I/we have the desire to help bridge the gap with a ​
gift​
of $_______ ​
and​
commit that we will also
gather ​
community pledges ​
to support the Legacy Fund. My goal is to fulfill the $600 per student need.
These pledges and gifts will be turned in by ____________(date).
In addition to this financial support, I/we commit to pray for Westside Christian High School as it seeks to bridge
this gap.
__________________________________ _________________________________ ______________
Printed Name(s)
Signature(s)
Date
Best email contact: __________________________________
Westside Christian High School is a 501(c)3 non-profit organization. Your donation is tax-deductible to the fullest extent of the law.
No goods or services were provided in exchange for this donation.
AUTHORIZATION AGREEMENT FOR DIRECT CONTRIBUTIONS (ACH DEBITS)
Account/Family Name: _____________________________________________________________
Student Name(s):
_____________________________________________________________
Type of Contribution: ​
Legacy Fund
I hereby authorize Westside Christian High School, hereinafter called WCHS, to initiate debit (withdrawal) entries to my
account indicated below at the depository financial institution named below, hereafter called DEPOSITORY, and to debit
the same to such account. I acknowledge that the origination of ACH transactions to my account must comply with the
provisions of U.S. Law.
Depository Name ____________________________________ Branch __________________________
City _________________________________________ State __________ Zip ___________________
Routing Number _____________________________ Acct Number ____________________________
Select One:
[ ] Checking
[ ] Savings
This authorization is for the amount of $_____________
to begin on ______________________
(Date)
and continue on the (select one below) day of each month following,
[]
[ ]

st​
1​
day of month
th​
5​day of month
[ ]

[ ]

th​
10​
day of month
th​
15​day of month
terminating after the last contribution due on _______________________.
This agreement is to remain in full force and effect until the total pledge balance has been paid or until WCHS has received
written notification from me (or either or us) of its termination in such time and in such manner as to afford WCHS and
DEPOSITORY a reasonable opportunity to act on it.
Name: _____________________________________________
(Please Print)
Signature: ___________________________________________
____________________________
(Date Signed)
**********************PLEASE ATTACH VOIDED CHECK HERE************************
(Required for verification of bank account information)
2015-16 VOLUNTEER INTEREST FORM
At Westside everyone is encouraged to volunteer! As a result of serving you will get closer to the staff, other parents,
and your child’s friends, PLUS Westside will truly benefit from your service.
Please check ALL of the areas in which you are interested in volunteering and bring this form with you to registration.
[ ]​
Get Out! Serve Day ​
provides an opportunity for our community to experience the blessing of giving through
time, treasure, and talent. Support this important project administratively or consider signing up to lead a team!
[ ]​
Office Help​
is needed with various projects throughout the year: stuffing envelopes, assembling
programs, photocopying, filing, filling in at the front desk, etc.
[ ]​
PESTs (“Parents Encouraging Staff and Teachers”) ​
have the opportunity to secretly pray for and support
one staff member throughout the year. Please take into consideration that blessing a staff person at least once a
month requires a bit of thought.
[ ]​
Classroom support​
for make-up test proctoring, study hall supervision, campus supervision, etc.
[ ]​
Special Programs & Events ​
occur throughout the year.​
Volunteers may help with a banquet, host
​
a parent get-together, or make a few phone calls.
[ ]​
Lunch Helpers ​
are needed to help with lunch duty and to monitor students in the gym.
[ ]​
Athletics ​
needs drivers for games and helpers of various kinds during sports events.
[ ]​
Other areas ​
in which you would like to help that are not listed above: ________________________
__________________________________________________________________________________________________________________________________________________________
Your Name (s): _______________________________ Parent(s)of:______________________________
Your Preferred Phone Number: __________________________ [ ] cell [ ] home [ ] work
Your email: _________________________________________________________________________
Comments regarding availability, special talents, or skills:
2015-2016 Westside Christian High School Payment Agreement
Student(s)
Grade
Grade
Grade
Tuition per student:
Book & Technology Fee:
Student Life Fee:
Yearbook (optional)*
Total Cost per student:
Parent(s)
$ 11,455
$
600
$
125
$
75
$ 12,255
SELECT A PAYMENT PLAN:
[ ] Annual Payment One payment of $11,455 per student due July 1. This plan entitles you to an early
payment discount of 2% off tuition if payment is received by July 10 or $11,225.90 plus fees*.
[ ] Semester Payment - Two payments of $5,727.50 per student: half due July 1 and half due January 1. This
plan entitles you to an early payment discount of 1% off tuition if payments are received by July 10 and
January 10 respectively or $5,670.22 plus fees*. Discount will be applied to each installment respectively.
[ ] Monthly Payment - Twelve (12) payments: your monthly payment will be due by the first of each month,
beginning July 1 and ending June 1. Monthly payment amount is $954.58 per student plus fees*.
For your convenience, WCHS has partnered with Smart Tuition for processing monthly payments. A $50 fee per
family will be charged at the time of enrollment, but the fee is not collected until the first tuition payment.
*Please note that your July bill will include $600 book and technology fee per student, $125 student life fee per student,
$75 yearbook fee** per student (optional), and grade-specific fees for start of school activities (refer to Fees and
Expenses Sheet). **The yearbook fee may be cancelled at your request (please contact the Accounting office before
October 1, 2015).
I have read and agree to the payment agreement and policies of Westside Christian High School (can be found at:
wchsonline.org/payment). I understand that there may be additional fees and expenses billed quarterly related to
class selection and participation in extra-curricular activities during the 2015-2016 school year.
Parent’s Signature
Date
2015-2016 FEES & EXPENSES
Tuition
Book & Technology Fee (required)
Student Life Fee (required)
Yearbook (optional)
Parking Permit (if applicable)
Amount
$11,455
$ 600
$ 125 (detailed on back)
$
75
$
20
Month Billed
​
July
July
July
July
July
Course Related Fees ​
(determined by student’s schedule)
Science lab fees (per science class)
$
30
Fine Arts fee (per art, music, and
Worship class)
$
85
Nov.
Additional fees:
● Choir dress, tux, t-shirts, and retreats are additional and vary by year.
AP tests (per test)
$
90
Extra-curricular Participation Fees
May
Billed at end of
respective season
​
Sports (per sport, includes cheerleading,
with a $250 cap per student)
$
125
*Costs for uniforms and athletic practice gear may be additional and vary by activity.
Contact respective coach.
Drumline
$
85
Feb.
Drumline uniform is additional.
Drama production (per production)
$
42.50
Billed after each
production
Class Related Fees
Sophomores
ACT Aspire test
$
14
Nov.
Juniors
PSAT testing
$
15
Nov.
Seniors
Fall Retreat
Senior Sweats
Senior Trip
Graduation/Baccalaureate DVD
$
$
$
$
150
50
275
25
Nov.
Nov.
Feb.
Feb.
2015-2016 Student Life Fee
2015-2016 Student Life Fee
A key component of our culture are activities designed to keep students engaged and ensure
that the fun quotient is high. For all “all-school” events, we have developed one
comprehensive fee of $125 that covers all student life events that are open to the entire
student body at a ​
considerable discount​
over the individual event fees. These events include,
but are not limited to, Sadie Hawkins, Homecoming, Banquet, and class parties.
TUITION CHARGE AND REFUND POLICY
When a student enrolls late or withdraws early from Westside Christian High School in a given school year,
the tuition and/or financial aid charge liability for the student’s enrollment will be determined by applying a
pre-determined percentage rate according to the following schedules. These rates have been established
taking into consideration not only instruction time, but supplies and administrative costs incurred on a
student’s behalf.
Late Enrollment - % of Annual Tuition Charged According to Month of Enrollment
July
100%
January
60%
August
100%
February
50%
September
100%
March
40%
October
90%
April
30%
November
80%
May
20%
December
70%
Early Withdrawal - % Refund of full tuition for Student Withdrawing
July
100%
January
40%
August
90%
February
30%
September
80%
March
0%
October
70%
April
0%
November
60%
May
0%
December
50%
All accounts are to be paid in full at time of withdrawal or before the first day of June. Any seniors whose
accounts are not current on the first day of June will have their diploma and official transcripts withheld
until payment is made in full. Early withdrawal from Westside does not release the obligation to pay the
tuition fees as outlined above and accounts will be billed for any unpaid balance. Class and textbook fees are
non-refundable once the school year begins and will be due in full regardless of payment plan selection.
WESTSIDE CHRISTIAN HIGH SCHOOL
ALL SCHOOL ACTIVITIES
PERMISSION SLIP
Events:
☐ ​
First Friday (September 11, 2015)
☐ ​
Class Clash Day (May 2016)
☐ ​
Senior Retreat (September 11-13, 2015)
☐ ​
Senior Trip (June 6-9, 2016)
Name of Student:___________________________________________________Age:________________
By signing this form, I consent for the student named above, who is legally under my supervision,
to attend the events as specified above.
As a parent and/or guardian, I remain legally responsible for any personal actions taken by the
above named minor (“Name of Student”). I agree on behalf of myself, my child named herein, or
our heirs, successors, and assigns, to release and hold harmless Westside Christian High School,
its board of directors, any and all employees or volunteers, coaches, chaperones, agents, or
representatives thereof, against any and all claims, actions, causes of actions, demands, liabilities,
losses, costs, damages, or expenses of whatsoever nation, including attorney’s fees-whether
occasioned in whole or in part by the negligent acts, errors, or omissions for any accident, injury,
or occurrence arising out of, or in connection with these activities and our child’s event arranged
transportation necessary to participate.
I understand that in the event medical intervention is needed, every attempt will be made to
contact immediately the persons listed on this form. In the event I cannot be reached in an
emergency during the activity dates shown on this form, I hereby give my permission to the
physician or dentist selected by the activity leader to hospitalize, to secure medical treatment
and/or order an injection, anesthesia, or surgery for my child as deemed necessary. I understand
that my insurance coverage for my child will be used as primary coverage in the event medical
intervention is needed.
I understand all reasonable safety precautions will be taken at all times by Westside Christian
High School and its agents during the events and activities. I understand the possibility of
unforeseen hazards and know the inherent possibility of risk. I agree not to hold Westside
Christian High School, its leaders, employees, and volunteer staff liable for damages, losses,
diseases, or injuries incurred by the subject of this form.
Parent or Legal Guardian’s Signature:_______________________________________Date:_________
Home Phone:________________Work Phone:__________________CellPhone:____________________________
Medical Insurance:__________________________________________________________________________
Policy Number:__________________________________
Name of Physician:_________________________________Phone Number:_______________________
STUDENT VEHICLE REGISTRATION 2015-16
For Parking Permit
Please include payment of $20.00 for parking permit.
Student’s Name: _________________________________________________________
Student’s Cell Phone #: ___________________________________________________
Please list vehicles that will be driven to school at least once a week.
Primary Vehicle:
Make/Model: ________________________________ Year: _________________
Color: _____________________
License Plate #: _______________________
Secondary Vehicle:
Make/Model: ________________________________ Year: _________________
Color: _____________________
License Plate #: _______________________
SENIOR OFF CAMPUS LUNCH RELEASE
Student Name: __________________________________________________________
I wish to be released from school during my lunchtimes on Fridays. I will observe all
rules and conditions of the school regarding leaving campus.
1. I will drive courteously and carefully, obeying all traffic laws including speed
limits.
2. I will return to school on time for my next class.
I understand that if I fail to comply with any of the above conditions my lunch
release may be revoked.
Student Signature:______________________________________ Date: ____________
I approve of the above request for my student to leave campus during lunch. I will
support the rules and conditions under which it was granted. I understand that any
violation of this privilege may result in its cancellation and/or further disciplinary
action.
Parent Signature:_______________________________________ Date: ____________
Phone Number:____________________________________
PARENT MUST return this form to the school office before students will be allowed
off campus.