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: ______________________
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.)
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 _________
