St. Mary's School Registration

8/10/2019 St. Mary's School Registration

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Enrollment Packet for 2015-2016

Contents:1. Admission Policy2. Mission Statement3. Registration Form4. Health Record/Medical Treatment Release Form5. After-School Transportation & Publicity Authorization/Ethnicity6. Child Registration Form7. Concussion Law/Gym Permission Form8. Tuition Rates/Collection Plan9. Fundraising Contract10. Tuition Contract11. Volunteer Contract

*Use the following forms only if applicable

12. Tuition Assistance Qualification Procedure w attachments13. George & Mary Kremer Foundation Application

*Please note that there is only 1 packet for this year and it can be printed/duplicatedfrom our school website: http://stmarys.eup.k12.mi.us/

To save t ime and m oney w e are pr int ing less. If you need a paper copy please stopin the office.
http://stmarys.eup.k12.mi.us/http://stmarys.eup.k12.mi.us/http://stmarys.eup.k12.mi.us/


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ADMISSIONS POLICY:St. Marys School is open to any child whose parents/guardians desire a Christian education for theirchild.

Students will be admitted to St. Marys Parish Catholic School according to the following criteria:

1. January 1st-15th-registration will be accepted for the upcoming school year starting with childrenof existing St. Marys Catholic School families, Pre-K8.

2. January 16th-30thregistration will be open to Catholic parishioners of The Diocese ofMarquette, Pre-K-8.

3. February 1st, registration will open to the public, Pre-K-8.

*A non-refundable deposit of $75.00 for K-8 and $35.00 for Pre-K will be required at the time ofregistration to reserve the spot. Registration fees are due by May 1st. After May 1st, Registration

Fees are doubled to $150.

Kindergarten students must be 5 years old by September 01of the year they intend to enterKindergarten. Exceptions are made for children whose birthday falls on or before December 31stand

show readiness, verified by a formal assessment and preschool teacher.

If classes become filled to capacity, any openings that occur will be filled from a waiting list. Thewaiting list will be compiled on a first come first serve basis.

Registrations will not be taken after the first day of school except in the case of families new to thearea or under certain considerations with consultation of the St. Marys Education Commission. Newstudents will not be admitted into Grade 8 except under special circumstances and in consultation ofthe School Commission.

Pre-School students must be 3 by September 1. Any openings that occur will be filled from awaiting list. The waiting list will be compiled on a first come, first serve basis.

Transfer students: Transfer students shall be admitted to other grades upon evidence of havingsatisfactorily completed previous grade levels.

**Please note that kindergarten entrance is based on the age policies listed for kindergarten, not uponcompletion of the preschool program. Revised: 9/23/2014

Mission Statement

Guided by the Holy Spirit and in partnership with the parents, St. Mary's School is committed to teaching theknowledge of the faith centered in the person of Jesus Christ. The values and traditions of the Catholic faith are

integrated into a comprehensive academic program where each child can develop spiritually, intellectually,emotionally, socially and physically. In a safe, joyful, and diverse environment, St. Mary's School will teach its

students the value of their Catholic heritage while respecting the traditions of students of other faith.

*Our Mission Statement is reviewed annually. Please contact the administrator if you have any questions or

recommendations regarding our Mission Statement. Revised 1/22/2013


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Student InformationChilds Name (Last) ____________________ (First) __________________ (Middle) __________Date of Birth __________________________ Sex: M / F Grade in Fall_______________Primary Student address _________________________________________________________City/Zip _______________________________________________________________________

Is your child a returning St. Mary's Catholic School Student YES or NOA New Student YES or NO

***New students please attach a copy of Birth certificate and immunizations

Family Information

Parent/Guardian Parent/Guardian #2

Full Name: _______________________________ ___________________________________

Relationship ______________________________ ___________________________________

Place of Employment ___________________ ___________________________________

Occupation _______________________________ ____________________________________

Marital Status __________________________ ____________________________________

Religion ___________________________________ ___________________________________

Address ___________________________________ ___________________________________

______________________________________________ ___________________________________

Phone (H) ______________(w)________________ ___________________________________

Cell Phone _______________________________ ____________________________________

Email _______________________________________ ____________________________________

Drivers Lic _______________________________ ____________________________________

Parish Information

______St. Marys _____St. Josephs Other ________________________

______Non Catholic

Are you registered in the indicated parish ______(yes) _____(no)

New students please complete this section:List all schools previously attended School year Grade School City/State

Date Paid_________Initials_________*office use only

*Please fill out1 PER child


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After school transportation/publicity authorizations/ethnicity form

Students name(s): Grade:_________________________________ ________________________________________ _______

_________________________________ _________________________________________ ________

Transportation- Please check any that apply:

____My child will walk home or to a day care provider____Attend the After School Program____Ride the bus to home or to day care provider____Be picked up by parent/guardian or day care provider____Other: __________________________________________________________________

If your child is being picked up by someone other than the parent/guardian, please write all the names and

telephone numbers of the person(s) who have authorization to pick up your child.

If your child is not picked up by 3:40pm, we will call the people on this list.

Name ________________________________ Phone __________________________________________________ _________________________________________________________ ______________________

*Are there any special circumstances that we should know of? If a special after school arrangementexists that is not listed on this paper, please notify your childs teacher immediately in writing. YESor NO

Picture/internet authorizationMay we take your childs picture for use in the school newsletters, yearb ooks, multi-media

presentations, brochures, flyers, social media sites, or for administration purposes? YES or NO

May we post pictures of your child on the schools website which is public? YES or NO

May we publish your name, address, and phone in the school directory? YES or NO

Special instructions:______________________________________________________________

Ethnicity/Race

The following information is optional but it helps our school for specific grants and also allows for ourschool to participate in the share-time programs with the Sault Area Schools.

___ Caucasian/White ___ Hispanic/Black ___ American Indian/Native Alaskan __ Hispanic/White___ Asian ___Multi Race __ Black __ Native Hawaiian/Pacific Islander __ Middle Eastern

Parents signature ______________________________________ Date _____________

*Only 1

form PERfamily


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TUITION SCHEDULE 2015 2016

Registration Tuition 10 Monthly Payments (Sept-June)

Parishioner Rate1st Child $75 $2337 $233.702ndChild $75 $1854 $185.403rdChild $75 $1161 $116.10

Non Parishioner Rate1stChild $75 $3497 $349.702ndChild $75 $3013 $301.303rdChild $75 $2200 $220.00

Pre School Rates1st Child $1539 $153.90Multiple child rate $1334 $133.40

K-8 Registration Fee- $75.00 per child prior to May 1. After May 1, $150.00.Pre-School Registration Fee- $35.00 per child prior to May 1. After May 1,$70.00

*Registration Fee is due at the time of Registration.*The monthly payments do not include the Registration Fee.

IMPORTANTFamilies claiming parishioner status must be able to demonstrate active

participation in the life of the parish through weekly use of tithing envelopes andtheir presence at Sunday Mass. Parishes will verify active membership beforethe beginning of the school year.


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TUITION COLLECTION PLAN

Families who have:

Completed the registration process; Paid the registration fee; and

Do not have delinquent tuition from the prior school year

Are eligible to attend St Marys School if all of these requirements are met be May 31st.

In addition to the above requirements, one of the following methods of payment must be electedBY MAY 31st, to insure cash flow for the school year:

Option A- Enrollment with the Diocesan Payment Program by May 31st and by making ten(10) monthly payments, September thru June with each payment due on the 15thday of each month. The monthly payments must be current and must remaincurrent; OR

Option B- Payment of the full amount of tuition payable by the 15thday of August prior tothe start of the school year.

Tuition Assistance:Tuition assistance is not guaranteed after May 1st. Upon qualification of TuitionAssistance, each family shall follow the ten monthly payment plan listed underOption A above.

If Tuition Assistance is denied, the family shall have 30 days to choose one of the payment

options listed above without penalty.

Nonpayment of Tuition:

Families who have not fulfilled their tuition commitment for the current school year will not beable to attend St. Marys School in September until the tuition and applicable late fees are paid infull. If the child(ren) have already registered for the upcoming school year, they shall beremoved from the registration list and will no longer be given pre-registration priority. If theyhave not registered, then they shall not be allowed to register until all past due tuition and latefees are paid in full and they have enrolled in one of the payment options listed above. In anyevent, all past due and current tuition shall be current before the family can register or enroll in

St. Marys School. If any family becomes delinquent on their tuition for sixty (60) days, thenthey shall appear before the St. Marys School Board to explain their situation and to show goodcause. After the Boards written decision, any payments not made within 15 days can be turnedover to an agency for collection.


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New Student Policy:

Students entering St. Marys School after the start of school shall pay the registration fee andshall be charged tuition on a pro-rata scale. New students must be registered in one of the plansas provided by the Tuition Collection Plan. If the payment in full option (Option B) is selectedthen the family will have 30 days (from the date of registration) within which to make payment.

If they do not, then their child shall not be allowed to attend school. If Option A is selected(Diocesan Payment Plan) then they must enroll with the Diocesan Payment Plan within sevendays from the date of registration and the first months tuition payment must be paid at the timeof enrollment.

Tuition Refund Policy:Tuition shall be refunded, on a pro-rata basis, or Smart Contract terminated, only if one of thefollowing conditions have been met:

a. extenuating circumstances, i.e. death, disability of a household income earner or otheruncontrollable situations - to be submitted in writing and presented to the St. MarysSchool Commission and determined by a majority vote of the St. Marys SchoolCommission to be extenuating;

b. Commission action terminating a student; or mutual consent of the school and familyfor the best interests of the student.


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Fundraising Contract (K-8)Fundraising Contract Families with only pre-school students, complete reverse

JACKPOT RAFFLEKindergarten - 8thFamilies

The Jack Pot Raffle is a mandatory fundraiser. The money generated from the fundraiser is a component

of our budget. Therefore, everyone is required to participate or to pay an equivalent in lieu of participatingin the fundraiser. Each family is required to sell 25 tickets or make a single payment of $500. If youchoose to make the single payment, it is due at the time you register your child for school (you will thenbe able to keep 25 tickets for yourself to enter into the drawing).

I/We ___________________________________________WILL PARTICIPATE IN THE JACKPOTRAFFLE AND SELL 25 TICKETS BY THE RAFFLE DEADLINE.

I/We ___________________________________________ WILL BE PAYING $500 IN LIEU OFPARTICIPATION IN THE JACKPOT RAFFLE.

SCRIP PROGRAMKindergarten8thFamilies

The SCRIP program is run by the administration of the Catholic School in conjunction with the Diocese ofMarquette using a volunteer core as required by government regulations.

All families are required to generate a minimum profitin the amount of $20.00 during the 2014-15 school year, with a cutoff for earning on June 30, 2015. Any difference will be billed to theparents tuition account for the 2015-16 school year or a bill will be sent to those families notreturning in 2015-16.

2. You may opt out of the SCRIP program by paying the $20.00 fee at the time you registeryour child for school.

7. Any excess profit over the $20.00 amount will be credited to the parents tuition accountat a 50% rate as a SCRIP tuition credit in the next school year.

8. All SCRIP Tuition Credits are taxable income. A 1099 will be issued by the school forSCRIP tuition credit in excess of $600.

_____________________________ _________________________________Parents Signature Parents Signature

_____________________________ _________________________________Date Date

Those families who have personal or financial concerns with this policy may request a meetingwith the school board to discuss the matter.

*****************Families with onlyPre-School students, complete reverse*****************

*Only 1form PERfamily


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Fundraising contract for Pre-school ONLY

JACKPOT RAFFLE

The Jack Pot Raffle is a mandatory fundraiser. The money generated from the fundraiser is a componentof our budget. Therefore, everyone is required to participate or to pay an equivalent in lieu of participating

in the fundraiser. Each family is required to sell 12 tickets or make a single payment of $240. If youchoose to make the single payment, it is due at the time you register your child for school (you will thenbe able to keep 12 tickets for yourself to enter into the drawing).

I/We ___________________________________________WILL PARTICIPATE IN THE JACKPOTRAFFLE AND SELL 12 TICKETS BY THE RAFFLE DEADLINE.

I/We ___________________________________________ WILL BE PAYING $240 IN LIEU OFPARTICIPATION IN THE JACKPOT RAFFLE.

SCRIP PROGRAMPre-School

The SCRIP program is run by the administration of the Catholic School in conjunction with the Diocese ofMarquette using a volunteer core as required by government regulations.

1. All families are required to generate a minimum profitin the amount of $10.00 duringthe school year, with a cut off for earning on June 30. Any difference will be billed to the parent'stuition account.

2. You may opt out of the SCRIP program by paying the $10.00 fee at the time you registeryour child for school.

3. Any excess profit over the $10.00 amount will be credited to the parents tuition accountat a 50% rate as a SCRIP tuition credit in the next school year.

4. All SCRIP Tuition Credits are taxable income. A 1099 will be issued by the school forSCRIP tuition credit in excess of $600.

_____________________________ _________________________________Parents Signature Parents Signature

_____________________________ _________________________________Date Date

Those families who have personal or financial concerns with this policy may request a meetingwith the school commission to discuss the matter.



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FAMILY ID #: ___________

FAMILY NAME: _____________________________________________Last First Name(s)

ST. MARY CATHOLIC SCHOOLTUITION CONTRACT

For the 2015-2016school year, I commit myself to pay the tuition and fees as follows:

(A) Tuition (transfer this figure from local adjustment sheet) $ ____________

(B) Fees (transfer this figure from local adjustment sheet) $ ____________

TOTAL GROSS TUITION & FEES FOR THE YEAR WILL BE: $_____________

Scrip Credit ($____________)

Local School Discount ($____________)

Scholarship Credit ($____________)

Employee Discount ($____________)

TOTAL NET TUITION $____________

Please choose one of the payment options below:

____Option 1: One time full amount payment___ Payment will be made by cash or check directly to Diocese of Marquette/School___ Payment will be made by ACH (complete ACH section on reverse side)___ Payment will be made by credit card

***An additional 3% will be added to your monthly payment if you use this option,to cover bank fees.

____ Option 2: Monthly payments

____ By cash or check directly to Diocese of Marquette/School(all bills will be sent via email) Email bills to _______________________________

____ By ACH/EFT payments beginning September 15 and end June 15.____ By credit card payments beginning September 15 and end June 15.

***An additional 3% will be added to your monthly payment if you use this option,to cover bank fees.

Signature: __________________________________________________ Date:______________________________Parent, Guardian or Person who is Financially Responsible

Reviewed by: _______________________________________________ Date: _____________________________Signature of Pastor

Approved by: _______________________________________________ Date: _____________________________Signature of Principal


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(If paying by debit or credit card please complete the ACH Form)

ACH WITHDRAWAL AUTHORIZATION

I/WE hereby authorize the Diocese of Marquette to transfer funds for the sole purposeof collecting tuition and fees. The funds are to be transferred from my/our:

Checking Account* OR Savings Account

Account #____________________ Routing #_______________________

At _______________________________________(Name of Financial Institution)

Please verify your account number.

*PLEASE ATTACH A VOIDED CHECK

ACH withdrawals will be made on the 15thof each month according to the payment schedule indicated onthe contract. Amounts maybe adjusted after other credits and/or scholarships have been applied.

This authorization allows the Diocese of Marquette to initiate the debit entry via ACH indicated above andto initiate, if necessary, any reversal entry and adjustments for entries made in error to the accountsindicated above.

This authority is to remain in full force and effect until the Diocese of Marquette has received writtennotification of its termination in such time and in such manner as to afford the Diocese of Marquette areasonable opportunity to act on it. The Diocese of Marquette may terminate ACH agreement due to, butlimited to, Non-Sufficient Funds.

Date___________ Account holder signature __________________________

CREDIT CARD AUTHORIZATION

Please charge my credit card for the total amount as indicated on my tuition contract.

Name as it appears on Card _______________________________________________

Visa MasterCard DiscoverCard #: ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___

Expiration Date ____________________ Security Code _________

Signature __________________________________________ Date ___________


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ST. MARY CATHOLIC SCHOOLLOCAL ADJUSTMENTS2015-2016 School Year

Participating CatholicNon-Participating Catholic

/Non-Catholic

# of Children Enrolled PRE-K K-8 PRE-K

1 child only2ndchild3rdchild or more

Names(s) of Student(s) Grade Entering Tuition

TUITION FOR THE YEAR WILL BE: $_____________(A) transfer this figure to the tuition contract

Fees:

Registration Fee due at the time of application (due at time of application) $____________

Other Fees $____________

FEES FOR THE YEAR WILL BE: $____________(B) transfer this figure to the tuition contract

Credits:

Scrip Credit ($___________)Tuition Commitment Statement (Please check one statement and sign commitment)______I am a parishionerof _______________________Catholic parish. I have read and signed the TuitionContract and the Tuition Collection Policy in my Registration Packet. Families claiming parishioner status must beable to demonstrate active participation in the life of the parish through the weekly use of tithing envelopesand their presence at Sunday Mass. Your parish priest or parish representative will sign the Tuition Contractas verification of active participation.______I am a non-parishioner. I have read and signed the Tuition Contract and the Tuition Collection Policy in myRegistration Packet._____________________________________________ ___________________________________________Printed Name Printed Name_____________________________________________ ___________________________________________Parent Signature Date Parent Signature Date

_____________________________________________ ___________________________________________

DriversLicense Number DriversLicense Number


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Parental involvement contract

Parental involvementis essential for keeping tuition costs as low as possible and in creating the familyatmosphere so important to the school mission. Each family, Kindergarten8th, is required to give aminimum of 30 hours annually of volunteer services. Each family, with only Pre-school students,

is required to give a minimum of 15 hours annually of volunteer services. Every family isresponsible to participate in at least one Parent Involvement Opportunity. Volunteer hours can be earnedby parents or relatives 18 years of age or older. After reviewing the Parent Involvement Opportunities,please complete the section below.

All volunteer hours MUST be documented in the Service Hours book located in the office.

Last Name ______________________ Phone Number ___________________________

Fathers Name ___________________ Address ________________________________

Mothers Name ___________________ _______________________________________

Email __________________________________

Students Name(s) _______________________________________ Grade _________________________________________________ _________________________________________________ _________________________________________________ __________

Iwould like to work on the following committees:

1st________________________________ 4th __________________________________

2nd_______________________________ 5th _____________________________________________________

3rd ________________________________________ 6th _________________________________________

I understand and agree that parent involvement is an important part of St. Mary's Catholic School. Iaccept my responsibility of the requirements set forth by the School Board.

Signature _______________________________ Date ________________

Signature ______________________________ Date _________________



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Parent involvement opportunitiesAdvertising & Marketing: Someone to organize and contact advertising media for school promotion and events. Medialist is available for reference. *Note-Hours are for actual time completing task, not value of advertising.

Athletics: Coach or be an assistant coach for St. Mary's Catholic School teams. Teams will include boys and girls

basketball and cheerleading squads.

Baking: Several events throughout the year will require refreshments. A donation of baked goods needed will be askedprior to the event. Your baking time can be used as service hours.

Book Fair: Work with Scholastic Books to run a book fair twice a year. Book fairs usually run for a 1 week period.

Box tops/Soup Labels: Collection and transmittal of labels/box tops etc... to companies for educational promotions.You may choose just one, i.e. box tops or soup labels.

Building improvement committee: Responsible for organizing and participating in all building improvement activities.

Catholic Schools Week: Be heavily involved one week of the year to volunteer, organize, supervise and attend eventsfor Catholic Schools week.

Christmas Program Costumes: Assist classes in cutting/hot glue/sewing costumes for the Christmas program.

Classroom aides: Volunteer Teacher Aides who can make a regular commitment.

HASA:Attend Home & School Association meetings for service hours; or run for a position on the Home & School board.

Home Room Supervisor:Work in coordination with teachers and HSA to help complete classroom assignments forfundraising, classroom parties and projects etc...

Hot Lunch Helpers: Volunteer to help serve lunch or breakfast one or more days (one hour commitment per day).

Inkjet & Cellphone recycling: To collect empty inkjet cartridges and unwanted cellphones, count them and return them

to the company. Boxes for collection will be placed at school and local Churches.

Jackpot Raffle: Distribute and collect tickets. Help organize event. Work at event.

Library: Volunteer to be a library aide. This is a one hour per week commitment per class.

Marketing Committee: assist with promoting events, post to social media, and assist with newsletters

Moving & Storage: Often we are in need of parents who are willing to pick-up items from/for the school anddeliver/unload them. These are often large items that require a truck.

Painting: Paint needed walls, rooms, objects, etc

Recess: One hour per week commitment to supervise outdoor/indoor recess.

St. Marys School Education Commission: Attend School Board meetings for service hours/run for a School Board

Used uniform locker attendant: St. Marys has lockersnear the gym that house used uniforms for giveaway. As peopledrop off donations and students use the uniforms throughout the school year, they are in constant need of upkeep(folding, sorting & storing).

*Many other opportunities will present themselves throughout the school year. Follow Facebook Page-St. MarysSchool

Documents

St. Mary's School Registration