2014/2015

Registration Form and Contract Check List

Initial each number
  1. ______Application form for new families
  1. _____ Tuition & Fee Schedule
  1. _____ Financial Agreement/FACTS
  1. _____Parent Fund Raiser Plan
  1. _____ Parent Involvement Plan
  1. _____ Authorization for Use of Photograph/Image
  1. _____ Request for Live Scan Form/ Certificate from Virtus Training – Protecting God’s Children
  1. _____ Emergency Card
  1. _____ Dennis Uniform Brochure
  1. _____Parish Letter

______

Family Name (Print)Signature Date

OUR LADY OF LOURDES SCHOOL

PARENT FUND RAISER PLAN

GRADES JR. K – 8TH

2014-2015

Fund Raising Obligation: Total $600

$200 due by Nov. 1, 2014, $200 by March 1, 2015, $200 by May 1, 2015

Required Activities that earn credit

  • $100 due September 1, 2014 Football Mania

Earn $50 toward fundraising obligation

  • $100 due November 1, 2014 for Bishops Golf Classic Car Raffle tickets

Earn $75 toward fundraising obligation

  • $100 due April 15, 2015 for Our Lady of Lourdes Festival Raffle tickets

Earn $50 toward fundraising obligation

Earn credit as part of a Bingo team, events coordinator, sports team/coach.

Earn extra credit through SCRIP gift cards year round, catalog items in the fall and candy sales in the spring.

OUR LADY OF LOURDES SCHOOL

PARENT PARTICIPATION PLAN

GRADES JR. K – 8TH

2014-2015

PIP – Parent Participation Plan; 30 hours for the school year or $1,500

PIP hours are not considered fundraising.

  • 12 hours working Bingo- 3 evenings

Schedule convenient dates in the school office; sign in and out with cashier at Bingo

  • 3 hours working at Our Lady of Lourdes Festival, May 2nd & 3rd, 2015

Sign in and out with Booth Chairperson

  • Other Volunteer hours – sign in at event, classroom or in the sign-in book in the office.

Approximately $25 to $30 dollars in donations = 1 hour

Examples of Donations for PIP hours

5 cases of water or soda = 1 hour

3 dozen cupcakes or donuts = 1 hour

NO SHOW FEES

If you sign up to work any event and do not show up, you will be charged a $100 fee.

ALL FEES ARE NON-REFUNDABLE

2014/2015

Athletic Fees:

There is a $45.00 per student fee for Football & Volleyball

Due on October 15, 2014

There is a $45.00 per student fee for Basketball & Soccer

Due on February 15, 2015

There is a $45.00 per student fee for Track

Due on March 15, 2015

Graduation Fee:

The 8th Grade graduation fee is $ 150.00 to cover the costs.

Due on February 15, 2015

Field Trips:

Trips are planned by teachers, cost is determined at that time.

Sacraments:

The Sacraments of Reconciliation and Eucharist are offered for students in and above the 3rd grade who are baptized. The fee is due September 15, 2014

Spirit Shirts:

Available at student store for $10

Yearbook:

Due on September 15, 2014 - $25

Diocese of San Bernardino

Office of Catholic Schools

AUTHORIZATION FOR USE OF PHOTOGRAPH / IMAGE
I/we hereby authorize the Diocese of San Bernardino and Our Lady of Lourdes School to use photograph/images of (Print name of subject) ______to promote and communicate through a slide presentation, photo display, printed material, posters, internet promotions, electronic multimedia and/or billboard displays.
I agree that this photograph/image shall be free for use in the above-mentioned areas by Our Lady of Lourdes School and the Diocese of San Bernardino without charge or obligation, and further, release and hold harmless the Diocese of San Bernardino and Our Lady of Lourdes School and all their employees, volunteers, affiliated church or diocesan entities or organizations and any of the agencies with whom it is associated, from any liability or obligation in connection with the use of said photograph/image.
It is understood that said photograph/image will not be used for any for-profit commercial purposes without express, written approval.
Date ______
Name ______(Photo subject)

Address ______

City, State, Zip code ______

Phone ______
(Parent/Guardian) Print Name ______

Signature ______(Parent/Guardian)

1201 East Highland Avenue, San Bernardino, California 92404  Telephone (909) 475-5437

 Fax (909) 475-5477  Email: