Enrollment Commitment 2017-18
In order to secure your spot for next year, please complete the TWO STEPS for Regis Enrollment Commitment.

First, complete this online form. Secondly, please submit a $50 per student commitment fee (waived if you've selected to apply for financial assistance through FACTS) via check to: Regis Middle School Attn: Mary Carey - 735 Prairie Dr. NE, Cedar Rapids, IA 52402.

This fee will be applied towards your child's 2017-18 tuition and is NON-REFUNDABLE. Please note Commitment Fee in the memo line of your check. Commitment Form and payment are due March 10th.

Please complete "Enrollment Commitment" Form for EACH student attending Regis is 2017-18.

Student First Name
Your answer
Student Last Name
Your answer
Grade student is entering for 2017-18 school year
Parent First Name
Your answer
Parent Last Name
Your answer
What Parish do you currently belong to?
Please list the school student attended in 2016-17
How many students will you have in the Xavier Catholic School System in K-8 for 2017-18?
What school(s) will students in K-8 attend?
Please check all that apply.
Who is responsible for paying tuition?
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