2017-2018 Registration and Fees Form for Website
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St. John's Lutheran School K-8th Grade Registration Form2017-2018
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STUDENT INFORMATION
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Student's Name (First, Middle and Last)Grade EnteringMale □Female □Birthdate:Date of Baptism:
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Student's Name (First, Middle and Last)Grade EnteringMale □Female □Birthdate:Date of Baptism:
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Student's Name (First, Middle and Last)Grade EnteringMale □Female □Birthdate:Date of Baptism:
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Student's Name (First, Middle and Last)Grade EnteringMale □Female □Birthdate:Date of Baptism:
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Student's Name (First, Middle and Last)Grade EnteringMale □Female □Birthdate:Date of Baptism:
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PARENT INFORMATION
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Parent's Marital StatusMarried □ Divorced □ Single □What is the custody status if divorced?
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Father's NameHome PhoneBusiness Phone
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Home AddressEmployerBusiness Hours
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Cell PhonePreferred Number of ContactE-Mail Address
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Father's Church Home
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Mother's NameHome PhoneBusiness Phone
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Home AddressEmployerBusiness Hours
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Cell PhonePreferred Number of ContactE-Mail Address
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Mother's Church Home
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List two people or relatives nearest to St. John's who would assume temporary care of your child(ren) if parents could not:
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Name Relationship to Family Phone Name Relationship to Family Phone
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GENERAL INFORMATION
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By signing:
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~I agree to give my child permission to take part in all school activities including sports and field trips.
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~I release St. John's Lutheran School and any driver transporting to and from all school related activities from all liability in the event of an accidental injury.
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~I authorize the school to arrange transportation to the nearest hospital and give my consent to the physician to do whatever is deemed necessary to insure the safety of the above named child(ren) in the event that injury or illness needs immediate attention and none of the above persons can be contacted.
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~I give permission for my child to use the computers while at school.
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~I understand that, barring special financial circumstances, the school reserves the right to deny the release/transfer of records until all tuition/fees are paid in full.
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TUITION AND FEES PAYMENT OPTIONS
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I AM MAKING A COMMITMENT TO THE FOLLOWING PAYMENT OPTION
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Full payment of tuition and fees at the time of registration.
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Half payment of tuition and fees at the time of registration and the other half in January
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4 payments: Registration, November 1, February 1, May 1
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10 payments: Registration, and the first day of every month September through May
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Tuition payments are due by the 1st of each month. If not paid by the 10th of each month, a $10 late fee will be charged. If not paid by the last day of the month, you will have to speak with a member of the CEC and the principal to discuss further enrollment.
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PARENT SIGNATURES
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Father's SignatureDate
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Mother's SignatureDate
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St. John's Lutheran School K-8th Grade Tuition and Fees FormFAMILY NAME:
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SECTION 1 - SCHOOL TUITION*
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FIRST NAMEGRADETUITION
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Student #1
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Student #2
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Student #3
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Student #4
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Student #5
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TOTAL
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*K-8 tuition: For St. John's members: $525 per child for the first two children. $325 per child for each additional child. For other WELS/ELS students: $2325 for the first child, $1555 per child for each additional child. For non-WELS/ELS students: $2430 for the first child, $1625 per child for each additional child.
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SECTION 2 - STUDENT BOOKS
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ITEMGRADESCOSTQUANTITYTOTAL
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Christlight BooksK - 6$40.00
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Names of children who need Christlight books:
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Light Blue Catechism7 - 8$22.00
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Names of children who need a Catechism:
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Christian Worship Hymnal1 - 8 $25.00
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Names of children who need a Hymnal:
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NIV Bible2 - 8 $15.00
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Names of children who need a Bible:
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TOTAL
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SECTION 3 - MILK*SECTION 4 - SCHOOL FEE*
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FIRST NAMEQTYWH/CH
Break or Lunch
CostFIRST NAMESCHOOL FEE
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Grades 3-8 do not need to order a break milk TOTAL TOTAL
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*Milk for K-8 cost $11.00 per serving/per year.*School fee for K-8 is $350. Breakdown is on the next line.
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Books $90, PE $10, Play $2, Technology $160, Supplies $68, Copier $20
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SECTION 5 - FIELD TRIPS*FINANCIAL SUMMARY
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FIRST NAMEQTYCOSTTOTAL Section 1 Total
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Grades 7 & 8 $50.00 Section 2 Total
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Grades 5 & 6 $50.00 Section 3 Total
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Grades 3 & 4 $50.00 Section 4 Total
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Grades 1 & 2 $50.00 Section 5 Total
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Kindergarten $50.00 TOTAL DUE
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TOTAL TOTAL PAID
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*Tuition and fees must be current in order for a child to attend the field trips. This fee include the cost of field trips, Team building activies, and parent gift projects. Money left over will carry over each year until 8th grade.BALANCE
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Tuition assistance is due by September 15.
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St. John's reserves the right to deny the release/transfer of records until all tuition/fees are paid in full.
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