Registration Form
2015-2016 School Year
Registration prior to March 31, 2015 will not be charged a registration fee. Registrations after March 31, 2015 will be charged a $100 per student non-refundable registration fee. This fee will NOT be credited toward your next year’s tuition. If all tuition for the 2014-2015 school year is not paid in full by August 1, 2015 your child will not be admitted for the 2015-2016 school year.
Family Information
Marital Status: Single ______Married _____ Separated ___ Divorced ____ Widowed ___
Father______Home Phone______
Address ______City ______State ______Zip ______
Employer ______
Work Phone (______) ______Cell Phone (______) ______
Email ______Responsible Billing Party: Yes No
Mother ______Home Phone ______
Address ______City ______State ______Zip ______
Employer ______
Work Phone (______) ______Cell Phone (______) ______
Email ______Responsible Billing Party: Yes No
May we list your name, address, and phone number in the Family Directory? _____Yes _____ No
Will your child(ren) be riding the bus? _____ Yes _____ No (Please circle one) Marinette Peshtigo
The weekly Family Envelope should be sent home with ______in grade ______
Please list your Parish: ______
Non Denomination _____ Baptist _____ Lutheran _____ Other _____
Statement of Non-Discrimination
Saint Thomas Aquinas Academy does not discriminate on the basis of sex, race, or national origin in the enrollment of a participation of students or the employment of personnel.
Student Information
· Please complete the student form on reverse for each student in your family who will be attending Saint Thomas Aquinas Academy in the fall of 2015.
Saint Thomas Aquinas Academy
Catholic Central/Holy Family Campus St. Mary Elementary Campus
1200 Main Street 141 S. Wood Avenue
Marinette, WI 54143 Peshtigo, WI 54157
(715) 735-7481 (715) 582-4041
www.thomas-aquinas.org
Name______Sex: M FAddress______Grade entering______
City______State______Zip______
Birth Date______Birth Place ______Social Security # ______
Religious Affiliation______Parish______
Student lives with: Father_____ Mother_____ Both_____ Other_____
Last School Attended______
Location______
Does this child have any special educational or health needs? Y N If Yes, please explain______
Will this child be riding the bus? ____Yes ____No (please circle one) Marinette Peshtigo
Name______Sex: M F
Address______Grade entering______
City______State______Zip______
Birth Date______Birth Place ______Social Security # ______
Religious Affiliation______Parish______
Student lives with: Father_____ Mother_____ Both_____ Other_____
Last School Attended______
Location______
Does this child have any special educational or health needs? Y N If Yes, please explain______
Will this child be riding the bus? ____Yes ____No (please circle one) Marinette Peshtigo
Name______Sex: M F
Address______Grade entering______
City______State______Zip______
Birth Date______Birth Place ______Social Security # ______
Religious Affiliation______Parish______
Student lives with: Father_____ Mother_____ Both_____ Other_____
Last School Attended______
Location______
Does this child have any special educational or health needs? Y N If Yes, please explain______
Will this child be riding the bus? ____Yes ____No (please circle one) Marinette Peshtigo
Name______Sex: M F
Address______Grade entering______
City______State______Zip______
Birth Date______Birth Place ______Social Security # ______
Religious Affiliation______Parish______
Student lives with: Father_____ Mother_____ Both_____ Other_____
Last School Attended______
Location______
Does this child have any special educational or health needs? Y N If Yes, please explain______
Will this child be riding the bus? ____Yes ____No (please circle one) Marinette Peshtigo
Tuition Fees
2015-2016
Use the chart below to calculate tuition. Please start with the
oldest child as child 1 and end with the youngest child.
Grade / Child 1 / Child 2 = 10% / Child 3 = 25% / Child 4+ = 100%9th - 12th / $4,500.00 / $ 4,050.00 / $ 3,375.00 / Free
5th - 8th / $2,550.00 / $ 2,295.00 / $ 1,912.50 / Free
1st - 4th / $2,250.00 / $ 2,025.00 / $ 1,687.50 / Free
K / $1,400.00 / $ 1,260.00 / $ 1,050.00 / Free
Pre-School Rates
Pre-K 4
am***** / Two Day - $675.00 Tues & Thurs / Three Day - $825.00 Mon-Wed-Fri / Four Day - $975.00 Mon-Thurs / Five Day - $1,075.00
Pre-K 4
pm***** / Two Day - $675.00 Tues & Thurs / Three Day - $825.00 Mon-Wed-Fri / Four Day - $975.00 Mon-Thurs / Five Day - $1,075.00
Pre-K 3
am only***** / Two Day - $675.00 Tues & Thurs / Three Day - $825.00 Mon-Wed-Fri / Four Day - $975.00 Mon-Thurs / Five Day - $1,075.00
Note: Tuition does not include college credit course fees.
* A $1,000 Grant is being offered for all incoming Freshmen.
** A New Student Grant of $500 is available for students entering the Academy in Grades 1-8 and Grades 10-12 will receive a $1000 New Student Grant in 2015/2016. New Student is defined as any student who has not attended STAA in the last 2 years.
*** A discount is available for students of full or part-time STAA staff. A 50% discount shall be provided for students of full-time staff and this discount shall be prorated for part-time staff based upon the parent’s equivalency as a full-time employee.
**** A 2% discount will be granted to any family that pre-pays full tuition by August 3, 2015.
***** Pre-K registration is based on first come first serve until the program is full.
Registration for Pre-K requires a $100.00 deposit to hold your child’s place and is credited to your tuition account.
Child 1
Child 2
Child 3
Child 4
Total Tuition
___Plan 1 Payment in full (Due August 3, 2015 and a 2% discount will be provided)
___Plan 2 Semi-Annual payments (Due August 17, 2015 and January 15, 2016)
___Plan 3 Monthly payments (10 months August 2015 through May 2016 due the15th of Month)
_____ Automatic Payment Withdrawal _____ Payment Coupon (please check your preference)
Late Fee of $25.00 will be added to balance due for each month tuition payments are delinquent.
Refund Policy shall apply to prepaid tuition only. Any refund shall be calculated based upon a 9 calendar month (September - May) school year. Any portion of a month the child is registered will constitute a complete month of tuition owed.
Financial Responsibility
I agree as a condition of enrollment in Saint Thomas Aquinas Academy to pay the tuition which may be applicable to my child. I understand that tuition is due and payable under the payment option elected above by me. If tuition is not received by the agreed to conditions of payment I understand that a late fee will be added to tuition owed each month I fail to make payments in a timely fashion. I understand that if tuition is delinquent in excess of 60 days and an acceptable arrangement has not been approved by Saint Thomas Aquinas Academy, my child will face possible suspension from attendance at Saint Thomas Aquinas Academy and/or will not be permitted to register for the subsequent year. Saint Thomas Aquinas Academy shall have the right to take legal action for failure to pay tuition and fees and I shall be responsible for all costs associated with collection including court costs and reasonable attorney fees.
Responsible Party Signature______Date______
As a parent/ guardian I understand that the acceptance of my child is contingent upon receipt of:
1) Signed Registration Form
2) Signed Financial Responsibility Form
3) Payment of Registration Fee(s) and Pre-K deposit if applicable
4) Approval of registration
I believe, to the best of my knowledge, that all data and information submitted in this registration form is truthful and accurate and that no material fact has been omitted.
Signature______Date______
Saint Thomas Aquinas Academy
www.thomas-aquinas.org
Marinette Campus Peshtigo Campus
Catholic Central High School & Holy Family Middle School St. Mary Elementary School
1200 Main Street, Marinette, WI 54143 141 S. Wood Avenue, Peshtigo, WI 54157 (715) 735-7481 (715) 582-4041
Automatic Payment Plan Agreement
Name ______
Bank or Financial Institution ______
Routing Number of Bank or Financial Institution ______
Checking Account Number ______
Savings Account Number ______
Payment Amount $______Date to withdraw (Circle one) 5th or 20th
Monthly payments begin in August and end the following May.
· I desire to budget tuition payments to Saint Thomas Aquinas Academy. I authorize Saint Thomas Aquinas Academy through the Stephenson National Bank and Trust (Bank) to automatically debit the above checking or savings account at the above stated institution on the day specified above.
· If a checking account is selected, a voided check must be attached. If a savings account is selected, it can not be a passbook type account.
· If my account balance is insufficient to cover the payment and the payment is missed, I agree to pay the missed payment and a $20 service charge directly to Saint Thomas Aquinas Academy.
· Saint Thomas Aquinas Academy agrees to have the bank directly charge my account for the above stated service fee.
· I have the right to stop payment on an individual debit or to have debits changed by providing written notification to Saint Thomas Aquinas Academy within five (5) business days prior to the transfer date.
· Saint Thomas Aquinas Academy, the Bank, or I can terminate this agreement at any time. However, termination must be in the form of written notification and in such a manner as to afford affected parties a reasonable time to act on it.
· I have read the document and agree to the terms listed.
______
Signature of Parent or Guardian Date
______
Signature of School Representative Date
______
Bank Acknowledgement Date
Please cancel my automatic transfer.
______
Customer Signature Date
______
Bank Authorization Date
The mission of Saint Thomas Aquinas Academy is to provide affordable education in the Catholic teaching tradition that inspires in students a life long thirst for knowledge, wisdom, and truth; a desire to reach the full potential which God intended for them; and recognition of the discipline of mind and heart required for effective service to others in the love of God.
Tuition Assistance Information
Tuition Assistance:
Tuition assistance is available for all students. Please fill out the Catholic School Tuition Assistance Form to start the process of consideration for all tuition assistance. The form requests applicable financial information and is to be mailed directly to the CSTAS office. This process helps ensure the confidentiality of your financial information. All tuition aid applications must arrive at the Catholic School Tuition Assistance Service by May 30th. Forms received after April 30th will still be considered for financial assistance based on available funds.
Tuition assistance allocations will be made by July 1st and will be based on the recommendation of the CSTAS office and available tuition assistance funds.
Please inform the Saint Thomas Aquinas Academy Business Office by signing below that you submitted a tuition assistance form and the date that you mailed the information.
______
Signature Date
Saint Thomas Aquinas Academy
Business Office
1200 Main Street
Marinette, WI 54143
Saint Thomas Aquinas Academy
NEW STUDENT / FRESHMAN GRANT APPLlCATION
We welcome you and thank you for your interest in being a part of the Saint Thomas Aquinas Academy family. Our faith filled academic institution has played an important part of this community since 1876.
We are a Christian school with an emphasis on faith, academics, and service. The mission of Saint Thomas Aquinas Academy is to provide an affordable education in the Catholic teaching tradition that inspires in students a life long thirst for knowledge, wisdom, and truth; a desire to reach the full potential which God intended for them; and a recognition of the discipline of mind and heart required for effective service to others in the love of God.
We ask that both the parent/guardian and the student commit themselves to their faith, academics, and service throughout their time at Saint Thomas Aquinas Academy. The Saint Thomas Aquinas Board of
Trustees, as a demonstration of our commitment to the parents and student, will provide any new student
to the Academy or a freshman entering high school a grant to offset the tuition. We pray that each student will continue to share his or her God given talents throughout his or her life.
Below is a short application that must be completed in order to receive a grant which shall be used to offset the student's tuition in the upcoming school year.
Application for (please check one):
___ New Student Grant (1st to 8th Grade-$500 & 10th -12th Grade-$1000)
___ Freshman Grant ($1000)
______Student Name Grade Parent Name
______Address Phone Number
Parent/Guardian and Student please read each and initial:
______We will open our minds and hearts to the teachings of God.
______We will show respect for faculty, staff, coaches, and volunteers.
______We will strive to do our best to achieve academic excellence.
______We acknowledge the importance of service within our Community and/or Parish.
______We understand the importance of participating as a volunteer or an attendee whenever
possible in school related activities.
______
Student Signature Date
______
Parent/Guardian Signature Date
Please submit this grant application to: Saint Thomas Aquinas Academy,
Attn: Business Manager, 1200 Main St., Marinette, WI 54143