Sedalia St. Paul's Lutheran School

Emergency Phone #___________________________Date of registration________________________

**THE FOLLOWING INFORMATION MUST BE COMPLETED IN FULL:

**BASED ON YOUR CURRENT ADDRESS - ---IF not attending St. Paul’s, in what school would child/ren be enrolled____________________________?

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: ____________________

________________                  ____________________           ________________

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: ________________________________________________________

Church affiliation:_________________________

Primary e-mail:  _______________________________________________________

Secondary e-mail: ____________________________________________________

Registration: (non-refundable)           ALL GRADES:

Pay by May 1^{st :}  $100.00          Pay by June 1^st:  $125.00          Paid after June 1^st:             $150.00

FEES: Must be paid by all families before the start of school.

*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, just let the office know.

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?  Call the office.  You may also call FACTS toll-free at 866.441.4637

Tuition Rates (established February 2020)

COMMUNITY AND LCMS – PK Rate for all PK students - $3,535 /year ($393/mo.)

Single Pay - 3% discount

        Community Rates K-8:_______

1st Child          $3,343/year  ($372/mo.)

2nd Child         $ 2,664/year  ($296/mo.)

3rd Child          $ 2,011/year  ($224/mo.)

4th Child          $ 1,337/year  ($149/mo.)

5th Child          $   672/ year    ($75/mo.)

LCMS Church members rate K-8:

1st child           $ 2,379/ year  ($265/mo.)

2nd child          $ 1,904/ year  ($212/mo.)

3rd child          $ 1,441/ year  ($161/mo.)

4th child           $   974/ year   ($109/mo.)

5th child           $   476/ year    ($53/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 _________