Melbourne Central Catholic Re-Enrollment 2017-2018
All returning students complete the following to finalize enrollment for 2017-2018 school year; please complete one form per student in grades 10-12 for the 2017-2018 school year.
Student Name *
Your answer
Student Grade Level 2017-2018 *
All 9th grade students and new students to MCC must complete separate form. Please contact for specific instructions.
Person Name and Relationship of Completing Form *
Your answer
Religious Affiliation *
If Catholic, please indicate parish
Your answer
Please choose the following information to be released in directory to MCC Community. *
My student may be photographed and used for all MCC Publications. *
My student may participate in annual off campus Service Day. *
My student may participate in off campus religion class retreats. *
My student may participate in Focus 11 . *
This is a mandatory retreat experience for 11th grade students to learn about vocations offered by the Diocese of Orlando.
MCC Provides t-shirts for each student by House and for Service Day. Please indicate t-shirt size. Please account for growth over the next 12 months. *
Would you like your name and number provided to families looking to car pool to and from school? Information is provided by zip code. *
Has your address, home phone, or emergency contact information changed since 2016-2017? *
If yes to previous question, please list new information below.
Your answer
Does the student have any physical limitations, disabilities, or health conditions or problems that may limit normal activities *
If yes to previous question, please provide additional details.
Your answer
Does the student take medication on a regular basis? *
If yes is answered above, please list medication, dosage, and whether it must be taken at school.
Parent/Guardian will need to bring medicine in original box/containter and sign documentation on the first day of school
Your answer
I agree to the terms and conditions of the 2017-2018 tuition policies. *
Catholic: $10, 600.00 Non-Catholic: $11,150.00 All families must be registered through FACTS TUITION PAYMENT PLAN. Registration for FACTS can be completed at
Financial Responsibility *
Please indicate the name of the person who is financially responsible for tuition payments. If it is someone other than the parent/guardian, please indicate name, address, and phone number.
Your answer
I will be requesting financial aid *
If requesting financial, I will be requesting the same financial aid as last year. *
If additional financial aid is being requested from the 2016-2017 school year, how much additional aid are you requesting? *
FACTS Grant and Aid Assessment must be completed. Award letters will be mailed after FACTS Grant and Aid Assessment is complete. Financial Aid Application can be found here:
Your answer
My child receives the following:
Please choose (1) tuition plan payment schedule *
Enrollment Fee must be paid by deadline. *
Fees can be paid by check or cash directly to MCC. Fees can be paid by credit card on the MCC website ( The costs of the fees are: $400.00 per family if paid by April 21, 2017; $500 per family if paid by June 1, 2017; if fees are NOT paid by June 1, 2017, a fee of $600.00 will be automatically billed to your tuition account.
Additional Financial Reponsiblity *
A technology fee must be paid at Hustler Day (August 2017). This fee includes Chromebook rental, technology/WIFI usage, textbook materials, and other educational/academic ancillary costs. The fee is $400 per student. (Discounts apply for multiple students in the same family.)
Additional Financial Responsibility *
I agree to participate in $200.00 fundraising per family.
My agreement below affirms that all of the information in this enrollment packet is correct, complete, and honestly presented. I understand that withholding or misrepresenting information in this packet may jeopardize my student's enrollment. *
Please indicate with Name and date
Your answer
Never submit passwords through Google Forms.
This form was created inside of Melbourne Central Catholic HS. Report Abuse - Terms of Service - Additional Terms