St.

Marys Catholic Preschool Tuition Contract 2014-2015

Family Name_________________________________________

Phone _______________

Address______________________________________________________________________________
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TUITION Checklist
Preference will be given to a student with a five day schedule.

____
____
____

$4,500
5 days per week
$3,500
3 days per week
$2,600
2 days per week
$ _______ TOTAL TUITION

FEES due upon registration and are nonrefundable.

$_______ Materials
($50 per student)
$_______ Student Accident Insurance
($15 per student)
VOLUNTEER HOURS
Work Hours

I will earn my hours throughout the year per family

I will pay for my hours ($15/hr x 15 hours = $225)

SCHOOL HOT LUNCH

Lunch is not provided in the preschool. Hot lunch is $2.40 per day. Tickets may be purchased in
the school office in increments of 10 or 20.
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TUITION TOTAL
Amount paid now
BALANCE DUE

$ ______________
-

____________
$ _____________ Pay-in-full by July 1, 2014 and receive a $200 discount or
set-up automatic payments to start August 1, 2014
and receive a $100 discount.

I agree to pay the balance of _________ in 10 monthly installments of __________, the first payment to be
made by August 1st. All tuition will be paid by June 30, 2015.
I have read this contract and agree to the terms herein.
______________________________________________________________________
Parent signature

______________
Date

______________________________________________________________________
Parent signature

______________
Date

_________________________________________________________________
Principal signature

______________
Date

-This document is a legal and binding contract with St. Marys Catholic School-

Internet Use Policy

As the parent or legal guardian of __________________, I understand and agree that my child will comply with
St. Marys Catholic Schools policy regarding school-provided access to electronic information and the Internet. This
policy is clearly stated and defined in the schools student handbook. I understand that access to electronic information
and the Internet is being provided to the students for educational purposes only, and I hereby give my child permission to
use that access. Furthermore, I am signing this agreement and agree to indemnify and hold harmless the school, the
trustees, administrators, teachers, and other staff against all claims, damages, and costs, of whatever kind that may result
from my childs misuse of his/her access to electronic information and/or the Internet.
Signature: ___________________________________ Date:____________________________

CONSENT: In the event an account is turned over for collection, the responsible person for the account
agrees to pay the collection and/or attorneys fees, court costs, and any other reasonable costs of
collection. Accounts over 60 days may be charged 15% per annum interest on the unpaid balance.
I hereby certify that I have read and understand these policies:
Parent Signature_______________________________

Date_____________________

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Notice of Nondiscriminatory Policy as to Students
St. Marys Catholic School admits students of any race, sex, national origin, age (in accordance with the law),
and handicapping condition (if, with reasonable accommodation on the part of the school, the student
with the handicapping condition can be accommodated), to all the rights, privileges, programs, and
activities generally accorded or made available to students at the school and in the administration of
educational policies, admissions policies, scholarship and loan programs, athletic or other schooladministered programs.
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I give my permission for my childs picture to be used in advertising for St. Marys Catholic School.
Parent Signature_______________________________________Date_____________
I give my permission to use my name, address, and phone number in a student directory, which is available to
PTO officers and event chairpersons.
Parent signature_______________________________________Date_____________

2014-2015 Preschool Registration Form

Family Name: _________________
Fathers name:_________________

Home Phone:______________
Occupation:________________

Work Phone_______________

Email address_______________________________________________

Cell Phone ________________

Mothers Name: ________________

Work Phone_______________

Occupation:________________

Email address_____________________________________________

Cell Phone________________

Fathers Religion: ______________________

Mothers Religion: _____________________________

STUDENTS NAME

BIRTHDAY

GRADE

1) ___________________________________ ________________
_______________________
2) ____________________________________
_______________________
3) ____________________________________
_______________________
4) ____________________________________
_______________________

LIST OF ALLERGIES
_________

________________

_________

________________

_________

________________

_________

In case of emergency, please notify (other than parent)

Name
____________________________________________________________________________________
PHONE (H) _____________________(W) __________________(C)_______________________________
If I cannot be reached, my child may be released to the above named person. I further give my permission
for medical treatment to St. Marys Catholic School in case of an emergency and neither I nor my contact
cannot be reached.

The following people may pick up my child from school:

1) _________________________________ 2) ___________________________________ 3)
______________________________

Parent Signature ____________________________________________________________ Date

___________________________
Parent Signature ____________________________________________________________ Date
____________________________