2022 2023 New Student Application

Welcome to our new online application process!
If you experience any technical difficulty during the application process, please SAVE your application and contact:
Rita Buhr at rita.buhr.iop@gmail.com or
call 910-455-0838 between the hours of
8:00 am- 3:15pm Monday thru Friday.
Name of IOPCS family who referred you: First Name Last Name
Application Checklist
Father/Guardian

Father First Name Father Last Name
Mother/Guardian

Mother First Name Mother Last Name
Current Family

Yes No

Please list children with current age and grade (if in school):
Sibling 1

Sibling 1 Name Sibling 1 Age Sibling 1 Grade
Sibling 2

Sibling 2 Name Sibling 2 Age Sibling 2 Grade
Sibling 3

Sibling 3 Name Sibling 3 Age Sibling 3 Grade
Sibling 4

Sibling 4 Name Sibling 4 Age Sibling 4 Grade

FAMILY EMERGENCY INFORMATION

The following information is used in the case of an emergency for all students registered.
Emergency Contact

In the case of injury or illness parents will be telephoned first. In the event a parent is not able to be reached, the following individuals will be called.
EM Contact 1 *
EM Relationship 1 *
EM Phone 1 *
EM Contact 2 *
EM Relationship 2 *
EM Phone 2 *
This list will be used for all students in a family. Students will be released to father, mother, emergency contacts and anyone who is authorized on this form. Parents must make written additions or subtractions to this list in person or in writing to the IOPCS Office.

AUTHORIZED PICK UP LIST
AP Name 1
AP Phone 1
AP Name 2
AP Phone 2
AP Name 3
AP Phone 3
AP Name 4
AP Phone 4
AP Name 5
AP Phone 5
AP Name 6
AP Phone 6

REGISTRATION AGREEMENT

Please read completely, sign and date
I am registering my child(ren) in Infant of Prague Catholic School for the academic year 2022- 2023. Consideration is given to families already enrolled in Infant of Prague Catholic School for additional members of their immediate family. If there are more applicants than there are available openings, priority will be given based upon receipt of completed applications. Students not accepted due to lack of space will have their name placed on a waiting list. This list is kept through January of the school year in which I am seeking admission.

I understand ALL FEES + TUITION ARE NON- REFUNDABLE (except in the event military transfer orders are presented.) This application is not a guarantee that you will be accepted by Infant of Prague Catholic School for the coming school year. It represents your request that Infant of Prague consider your child(ren) for enrollment during the coming year. Infant of Prague Catholic School reserves the right to decline enrollment.

All the information contained on this application is true and accurate. Any omission or untruth could warrant non-acceptance or dismissal from the school program.
Registration Signature

Clear
Registration Date

Month Day Year
Date

PARENT/GUARDIAN FINANCIAL RESPONSIBILITY

PLEASE READ PARENT/GUARDIAN FINANCIAL RESPONSIBILITY AGREEMENT, INITIAL EACH SECTION AND SIGN ACKNOWLEDGEMENT.
PARENT/GUARDIAN FINANCIAL RESPONSIBILITY AGREEMENT

Parents/Guardians are legally responsible to ensure the payment of all required fees and tuition for their child(ren) registered at Infant of Prague Catholic School.

In addition to the above tuition, the minimum expectation is that parents/guardians are responsible for supporting the events/fundraising endeavors of the school. Parents/guardians of students in grades PreK through Eighth Grade are required to volunteer thirty (30) hours per year through our school service program, which includes, supporting/coordinating programs and activities for the school. The School Service Program also encompasses the support of major fundraising events as well as support of the Home and School Association. If a family is unable to volunteer their time and talent equaling a minimum of (thirty) 30 hours during the school year, they will be required to provide a monetary contribution equaling $20.00 for each hour below the required (thirty) 30 hours.

Families seeking Pastoral Tuition Assistance may apply beginning March 1, 2022 through May 31, 2022 through (FACTS management Grant and Aid annually.) Only packets submitted through FACTS will be considered. No assistance is available for Early Childhood Programs. Families are also encouraged to apply to the NC Opportunity Scholarship as well. Families will be notified in June of award status. Since there are more families requesting assistance than there are available resources, submitting late or incomplete applications will negatively affect the liklihood and/or amount of award.

It is the policy of Infant of Prague Catholic Church to be available to help families through periods of financial distress; however families are required to notify the IOP Business Office prior to any delinquencies occurring. The school requires that any delinquent account be brought up to date or other arrangements made in order for a student(s) to remain in school. Accounts that are sixty days past due will result in disenrollment of the student(s).

Families who are members of Infant of Prague parish must meet the following criteria to receive the parishoner rate:

They must be ACTIVE, REGISTERED, PRACTICING, and CONTRIBUTING members of Infant of Prague Parish.

To be considered ACTIVE, means that you must be registered for at least six months and participating in parish life. To be considered PRACTICING, means you regularly fulfill your obligation to attend weekly Mass. To be CONTRIBUTING means that your support must be regular and identifiable through the use of church envelopes or checks. If new to the area, families must submit a letter from their previous Parish indicating they were active members.

Families who receive Infant of Prague Parish rates do so because the parish supports the school financially.
Financial Signature
Financial Date

Month Day Year
Date

UPLOAD PAPERWORK

Student 1
Student 1 Updated Immunization Form *

Cancel of
Student 1 Birth Certificate *

Cancel of
Student 1 Baptismal Certificate (if Catholic)

Cancel of
Student 1 Report Cards (if entering grades 1-8) *

Cancel of
Student 1 IEP

Cancel of
Student 1 Special Ed Recommendation (if applicable)

Cancel of

Are you adding another student? *

Yes No

UPLOAD PAPERWORK

Student 2
Student 2 Updated Immunization Form *

Cancel of
Student 2 Birth Certificate *

Cancel of
Student 2 Baptismal Certificate (if Catholic)

Cancel of
Student 2 Report Cards (if entering grades 1-8) *

Cancel of
Student 2 IEP

Cancel of
Student 2 Special Ed Recommendation (if applicable)

Cancel of

Are you adding another student? *

Yes No

UPLOAD PAPERWORK

Student 3
Student 3 Updated Immunization Form *

Cancel of
Student 3 Birth Certificate *

Cancel of
Student 3 Baptismal Certificate (if Catholic)

Cancel of
Student 3 Report Cards (if entering grades 1-8) *

Cancel of
Student 3 IEP

Cancel of
Student 3 Special Ed Recommendation (if applicable)

Cancel of

Are you adding another student? *

Yes No

UPLOAD PAPERWORK

Student 4
Student 4 Updated Immunization Form *

Cancel of
Student 4 Birth Certificate *

Cancel of
Student 4 Baptismal Certificate (if Catholic)

Cancel of
Student 4 Report Cards (if entering grades 1-8) *

Cancel of
Student 4 IEP

Cancel of
Student 4 Special Ed Recommendation (if applicable)

Cancel of
Finished all uploads? *

Yes

Thank you, your application has been completed!

Information regarding your family's application will be communicated to you by email in approximately 10 days.

After you submitt your application, please visit our website at https://iopcs.wordpress.com/2022-2023-application/

and click on the blue 2022/2023 Application Fee Payment button to pay the fees.
Should be Empty:

FAMILY INFORMATION

INFANT OF PRAGUE CATHOLIC SCHOOL APPLICATION

Support Services and IEP

INFANT OF PRAGUE CATHOLIC SCHOOL

INFANT OF PRAGUE CATHOLIC SCHOOL APPLICATION

INFANT OF PRAGUE CATHOLIC SCHOOL APPLICATION

FAMILY EMERGENCY INFORMATION

Emergency Contact

REGISTRATION AGREEMENT

PARENT/GUARDIAN FINANCIAL RESPONSIBILITY

UPLOAD PAPERWORK

UPLOAD PAPERWORK

UPLOAD PAPERWORK

UPLOAD PAPERWORK