ForOfficeUse

521 East Fourteen Mile Road, Clawson, Michigan 48017
Telephone (248)588-5545Fax(248)589-7356

Date

STUDENTREGISTRATION--PRE-SCHOOL 2018- 2019

Sep.1,2018

FATHER:

LastNameFirstNameMiddleName

ADDRESS:

TELEPHONE:

Street

City

Zip

HomeWorkEmail

OCCUPATION:PLACE OFEMPLOYMENT:

RELIGION:PARISHAFFILIATION:

MOTHER:

LastNameFirstNameMiddleName

ADDRESS:

TELEPHONE:

Street

City

Zip

HomeWorkEmail

OCCUPATION:PLACE OFEMPLOYMENT:

RELIGION:PARISHAFFILIATION:

*** AcopyoftheCUSTODYAGREEMENTmustbeprovidedindivorce/separationsituations. ***

Please choose a payment plan:

____ Pay in Full (Due July 1, 2018)____10 Payments (July-April)

____2 Payments (July 1 & Dec. 1) ____12 Payments (July–June)

TUITIONCONTRACTANDAGREEMENT

PERSONRESPONSIBLEFOR TUITIONPAYMENT: Iagreetofulfillmystudent'stotalfinancialobligation;maketimelytuitionpayments,asoutlinedonthe2017-2018TuitionPaymentSchedule;andtoallCollectionandRefundPolicies,as outlinedbelow.

Signature

BILLINGNAME:

FirstName

MiddleInitial

LastName

BILLINGADDRESS:

StreetCity

TELEPHONE:SOCIALSECURITYNUMBER:

Zip

xxx-xx-______

Home

Work

COLLECTIONANDREFUNDPOLICIES:

•$150.00RegistrationFee before March 30th, $200.00 Registration Fee March 30–May 1st, $250.00 Registration Fee after May 1, 2018.

•Registration fees are non refundable

•Paymentswill be collected by FACTS Tuition Management Company.

•Registration is not complete until you have set up an account with FACTS Management.

•50%ofthesemestertuitionisrefundableuptothefourthweekofthesemester.

•Paymentsmustbecurrentifstudentistobeginsecondsemester.

•AnystudentwithadelinquentbalancewillbeexcludedfromRegistrationforthenextschoolyear. Diplomas,reportcardsandtranscriptswillnotbegivenortransferreduntilallaccountsarecurrent. Apastduebalanceof90daysisgroundsforremoval.

521EastFourteenMileRoad,Clawson,Michigan48017

Telephone (248)588-5545Fax(248)589-7356

ReferralFamily

NEWSTUDENTINFORMATIONFORM

2018-2019

Date

PleasecompleteforeachStudentregisteringatGuardianAngelsSchoolforthefirsttime:

PleaseProvide: 1) BirthCertificate

2)BaptismalCertificate

3)Physical/ImmunizationRecord

4)Cert.ofNaturalization/PermanentResidentCard,ifapplicable

STUDENT'SNAME:

LastNameFirst NameMiddleName

ADDRESS:

Street

City

Zip

TELEPHONE:DATE OFBIRTH:SEX: STUDENT'SRELIGION: PUBLICSCHOOLDISTRICT:

SACRAMENTINFORMATION: (Youmustprovideexactandcompletedata)

DATE / CHURCH / CITYSTATE
BAPTISM
1STCOMMUNION
CONFIRMATION
PENANCEPREPARATION

SCHOOLLASTATTENDED:

District

AddressCity

Isthereanyinformationconcerningyourchildwhichyoufeelweshouldbeaware?

NoYes: Pleasespecify:

HOMELANGUAGE:If thechildisforeignborn,isshe/henowaNaturalized

CitizenoftheUSA?YesNo

STUDENT'SETHNICHERITAGE:

NativeIndian/NativeAlaskan / Arabic / Asian
Black/African-American / Hispanic / White,Non-Hispanic
NativeHawaiian/PacificIslander / Multi-Racial

IverifytheinformationwhichIhavecompletedtobetrue. IrealizethatomissionorfalsificationofpertinentdataorfactscouldcausemychildtobeexcludedfromGuardianAngelsCatholicSchools.

SignatureofParent/Guardian