St. Joan of ArcParish School

Registration Form ~2018-2019 School Year

(For all NEW STUDENTS please complete back page of this form)

Name of Parent(s) ______

Home Address ______Day Phone______

City, State, ZIP______Eve. Phone______

Home e-mail address: ______Parish Affiliation ______

Name of Public School District that you reside in: ______

Name of Student Birth DateGrade(for 2018-2019 school year)

*For 3K & 4K please indicate Full or HalfDay

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Tuition Rates for the 2018-2019 School Year

*First year non-parish members will receive member rates for their first year of registration.

St. Joan of Arc / St. Catherine of Alexandria Parishioner RateNon-Member Rate

Half Day Kindergarten (3K or 4K)$ 2,650 $3,720

One Child ** $ 3,520$7,470

Two Children $ 6,540$14,900

Three Children $ 9,080 $22,410

Four Children $11,220 $29,900

** Includes full day 3K, 4K, and Sr. Kindergartens

$75.00 per student supply fee payable August 15, 2018.

____ Financial grants are available. Check if you are interest in a grant application.

Your registration fee paymentmust be submitted with this form.

  • $75 per child, maximum of $200 per family (if received on or before 2/28/18).
  • $150 per child, maximum of $400 per family (if received after 2/28/18).

Please make your check payable to: St. Joan of Arc Parish School. Registration forms submitted without the required deposit will not be accepted, except in cases of financial hardship.

After April 1sta Tuition Payment Contractfor the 2018-2019 school year will be mailed to each registrant. Contractmust be signed and returned to guarantee your child/children’s enrollment.

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Signature of One ParentDate

FOR OFFICE USE: Parish ID No. ______Date Received______

Check No.______Amount______

NEW STUDENT INFORMATION SHEET

Please request additional copies for multiple students.

Student’s Name ______

Last First Middle

Date of Birth ______City & State of Birth ______Religion ______

Father’s Name ______Religion ______Occupation ______

Last, First

Mother’s Name ______Religion ______Occupation ______

Maiden, First

A notarized copy of the Birth Certificate is: ____ Presented w/ application ______Will Follow

(will be annotated and returned to you)

Copy of Court Order/Divorce Decree (if applicable) ______Attached

Has this student been baptized? (Y/N) ______Date of Baptism ______

Place of Baptism ______

Church City, State

A copy of the Baptismal Certificate is ______Attached ______On file _____ Will Follow

School last attended______

City, State

Most recent report card ______Attached Health & Immunization Records ______Attached

State any specific health conditions (diabetes, seizures, allergies, heart, etc.) and give instructions for emergency care. List any recommended restrictions from normal school activities.

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List any special needs (educational, physical or emotional): ______

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List any previous testing: ______

List any special education classes: ______

Significant family data if helpful to know ______

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