Request edit access
2020-2021 SCB Preschool and Day School (Re)Enrollment
Email address *
Student/Family Last Name *
Your answer
Are you an active, registered SCB Parishioner family? *
Which parish are you registered with? *
Father/ Guardian Name *
Your answer
Father/ Guardian Phone Number *
Your answer
Mother/ Guardian Name *
Your answer
Mother/Guardian Phone Number *
Your answer
Parents are: *
Student's Primary Street Address: *
Your answer
Student's Primary City and Zip Code *
Your answer
If additional address, please provide
Your answer
Student primarily lives with: *
Student 1: *
Required
Student 1- first name *
Your answer
Student 1 - City and State of Birth *
Your answer
Student 1- gender *
Student 1- date of birth *
MM
/
DD
/
YYYY
Student 1- grade entering *
Day School Student 1- If your child attended a public school, which district do you reside in? If registering a PK student, put NA
Your answer
Day School Student 1- if your child attended a public school, which one would it be for your address? If registering a PK student, put NA *
Your answer
Student 1- Ethnicity (per census questionnaire) *
Student 2:
Student 2- first name
Your answer
Student 2 - City and State of Birth
Your answer
Student 2- gender
Student 2- date of birth
MM
/
DD
/
YYYY
Student 2- Ethnicity (per census questionnaire)
Student 2- grade entering
Student 2- If your child attended a public school, which district do you reside in? If registering a PK student, put NA
Your answer
Student 2- if your child attended a public school, which one would it be for your address? If registering a PK student, put NA
Your answer
Student 3:
Student 3- first name
Your answer
Student 3 - City and State of Birth
Your answer
Student 3- gender
Student 3- date of birth
MM
/
DD
/
YYYY
Student 3- Ethnicity (per census questionnaire)
Student 3- grade entering
Student 3- If your child attended a public school, which district do you reside in? If registering a PK student, put NA
Your answer
Student 3- if your child attended a public school, which one would it be for your address? If registering a PK student, put NA
Your answer
Student 4:
Student 4- first name
Your answer
Student 4 - City and State of Birth
Your answer
Student 4- gender
Student 4- date of birth
MM
/
DD
/
YYYY
Student 4- Ethnicity (per census questionnaire)
Student 4- grade entering
Student 4- If your child attended a public school, which district do you reside in? If registering a PK student, put NA
Your answer
Student 4- if your child attended a public school, which one would it be for your address? If registering a PK student, put NA
Your answer
***Payment Plan -choose one payment option. If choosing monthly Option 4A or 4B, be sure to let us know if you want 10 or 12 months. YOU MUST SIGN INTO FACTS TO ACCEPT TERMS *
Required
Who is responsible for tuition? *
The Parish helps subsidize our tuition (regardless of your Parishioner status). Please check all that apply: *
Required
DAY SCHOOL Tuition (remember all fees are included in tuition) *
DAY SCHOOL Registration Fee: I agree to pay $100 non-refundable fee per child to register for SCB. I understand that my child(ren) are not registered until I submit payment to the office. Please make checks out to SCB. The other $150 per child fee will be rolled into the "tuition portion" *
PreSchool Tuition *
PK Registration Fee: I agree to pay $150 non-refundable fee per child to register for PreSchool. I understand that my child(ren) are not registered until I submit payment to the office. Please make checks out to SCB (can be combined with Day school payment). *
Thank you for registering with SCB! By completing this form, I agree to send in all Registration fees by March 6. Please write checks to SCB with student(s) name in the memo. If registering for Day and PK, one check can be written. ****If you are registering a NEW student, you will also need to submit a copy of the student(s) Birth Certificate and immunization records**** *
Submit
Never submit passwords through Google Forms.
This form was created inside of St. Charles Borromeo School. Report Abuse