LITTLE FLOWER CATHOLIC SCHOOL
REGISTRATION FOR THE SCHOOL YEAR OF 2017-2018
A $50.00 non-refundable tuition deposit, per family, must be included with this registration. (This will be applied to your total tuition amount.) An additional fee of $25.00 per new student must also be included.
______We wish to register our children below for the 2017-2018 school year.
______Our children will not be attending Little Flower in 2017-2018.
Student Information
Name / Date of Birth / 2017-18Grade / Race** / Check if
New Student*
Parent Information
Mother’s Information / Father’s InformationLast, First / Last, First
Spouse (if applicable) / Spouse (if applicable)
Address / Address
City, State, Zip / City, State, Zip
Phone (Home) (Cell) (Work) / Phone (Home) (Cell) (Work)
Email Address: / Email Address:
The above information will be used for our school directory. If you do NOT wish to be included in the directly, please check here. ______
Phone #(s) to be used for School Reach ______
PLEASE NOTIFY THE SCHOOL IF THERE IS A CHANGE IN THE ABOVE INFORMATION
*New students must have copy of birth certificate, current physical and vaccination records, and baptismal certificate (if applicable).
** Little Flower School admits students of any race, color, national, and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at our school. It does not discriminate on the basis of race, color, national, and ethnic origin in the administration of its educational policies, scholarships, and loan programs, and athletic and other school administered programs. This is for reporting purposes only.
LITTLE FLOWER CATHOLIC SCHOOL
TUITION PAYMENT PREFERENCE FORM
2017-2018 SCHOOL YEAR
Check One: Registered Catholic Parishioner*____ Non-Catholic____
*Parishioners are registered members of a Parish, who are actively living their faith by attending weekend Mass and by the stewardship of time, talent, and sharing of the treasure. At what Catholic Church are you registered and actively living your faith?______
Tuition for the 2017-2018 school year will be paid by: (Circle one Option)
OPTION 1: Single Payment due August 16, 2017. Payment is made directly to the school.
OPTION 2: Two Payment Plan: Two equal payments are made directly to the school.
1st payment due August 16, 2017 2nd payment due January 16, 2018
OPTION 3: FACTS monthly payment plan - payments are debited from your bank account over 10 months beginning July 2017 through April 2018. Payments may be made either on the 5th or 20th of the month. A $43 fee will be charged to each family. This is a FACTS charge imposed on the school for this service.
Note: A $30.00 charge will be assessed by FACTS each time a payment is attempted, but
funds are not available.
OPTION 4: Four Payment Plan: Four equal payments are made directly to the school.
1st payment due August 16, 2017 2nd payment due October 16, 2017
3rd payment due January 16, 2017 4th payment due April 16, 2018
Note: A $25.00 charge will be assessed monthly for late payment of Option 1, 2 and 4.
If you choose to pay monthly through FACTS, you will need to fill out online a FACTS Automatic Tuition Payment Plan Agreement Form at www.online.factsmgt.com. The form needs to be completed by April 15th. If you have questions, please contact the school office at 529-4511.
I agree to make tuition payments for the 2017-2018 school year according to one of the options above. Failure to make timely tuition payments will lead to collection efforts which may include withholding report card(s), possible dismissal from school or referring account to a collection agency.
______
Parent/Guardian Signature Date Day Time Phone Number
______
Address Night Time Phone Number
Annual tuition assistance applications are available online at www.online.factsmgt.com/signin and need to be submitted to FACTS by April 30, 2017. A $30.00 non-refundable application fee is charged by FACTS. This application is only good for school year 2017-2018.