Registration Form

Registration Form 2018-2019

 

Emergency Phone #___________________________Date of registration________________________

1st Child:

Name: ______________________________________________________

Age: ______Date of Birth: ____________Entering Grade: _____M/F: ______

Baptized :( Y/N) _________Allergies:_______________ Previous School: ______________________

2nd Child:

Name____________________________________________

Age: ______Date of Birth: ____________Entering Grade: _____M/F: ________

Baptized: (Y/N)________ Allergies:_________________ Previous School: _____________________

3rd Child:

Name____________________________________________

Age: ______Date of Birth: ____________Entering Grade: _____M/F: ________

Baptized: (Y/N)_________ Allergies:_________________ Previous School: ____________________

4th Child:

Name____________________________________________

Age: ______Date of Birth: ____________Entering Grade: _____M/F: ________

Baptized: (Y/N)_________ Allergies:_________________ Previous School: ____________________

The following information is a must, please complete in full

**IF not attending  St. Paul’s what school would child/ren be enrolled____________________________

_______________      _______________      _______________      _______________      __________

FAMILY INFORMATION:

Father’s name: _____________________________Dad Cell#_________________________

Mother’s name: ____________________________Mom Cell#_________________________

Father's employer: __________________________Dad’s work/ phone: __________________

Mother's employer:  _________________________Mom’s work/phone: _________________

Home address: ________________________________________________________

Home phone: _________________ Church affiliation:_________________________

Primary e-mail:  _______________________________________________________

Secondary e-mail: ____________________________________________________

Registration: (non-refundable)           Grade PK-8 ($100)__________

Tuition is paid through FACTS unless paid for the whole year.  Log in at:  factsmgt.com

Single Payment - 3% discount (due by the 1st day of school)

Have Questions?  You may also call FACTS toll-free at 866.441.4637

FEES: Must be paid by all families

*Books/Materials per child –PK $25.00 Grade K-8 ($200) ____________________

*Technology fee per child-Grade K-8 ($50) _______________________

**Books, Technology fees, Lunch and SAC may be added to FACTS payment.

 

 

 

Tuition Rates (established 2018.01)

 

COMMUNITY AND LCMS – PK Rate for all PK students - $3,432 /year ($382/mo.)

 

 

Single Pay - 3% discount

        Community Rates K-8:_______

1st Child          $ 2,950/year  ($328/mo.)

2nd Child         $ 2,352/year  ($262/mo.)

3rd Child         $ 1,774/year  ($198/mo.)

4th Child          $ 1,176/year  ($131/mo.)

5th Child          $   593/ year    ($66/mo.)

 

LCMS Church members rate K-8:

1st child           $ 2,310/ year  ($257/mo.)

2nd child         $ 1,848/ year  ($205/mo.)

3rd child          $ 1,399/ year  ($156/mo.)

4th child          $   945/ year   ($105/mo.)

5th child          $   462/ year    ($52/mo.)

 

Monthly rate is calculated at nine months/rounded

If a 10 month withdrawal is needed contact office.

St. Paul’s pays sign-up fee

 

Needed before first day of school:

_____Immunization records

_____Birth Certificate

_____Social security number

_____Request for Records from Previous School

_____Signed receipt of Handbook

 

____Portion of divorce decree/legal document that assigns custody and any other information from legal document pertinent to guardianship and school enrollment, if applicable

 

 

 

 

In the event you are unable to reach me in case of an emergency or disciplinary problem, the following person(s) may assume responsibility for my child.

Only those listed will be allowed to pick up your child from school.

This information is also used by our School After

Care Staff. (SAC)

 

 

1)__________________________________

Phone _________________

Relationship _________

 

2)__________________________________

Phone # _________________

Relationship _________

 

3)__________________________________

Phone # _________________

Relationship _________

 

4)__________________________________

Phone # _________________

Relationship _________

 

 

 

 


 

 

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