Tuition agreement

Tuition agreement
Family Last Name*

Students*

	First Name	Last Name	Grade in '24-'25
1
2
3
4
5
6

Mother / Guardian
Name

First NameMaiden NameLast Name
Address

Address

Street Address Line 2

CityState

Zip Code
Email Address
example@example.com
Cell Phone
Father / Guardian
Name

First NameLast Name
Address

Address

Street Address Line 2

CityState

Postal / Zip Code
Email Address
example@example.com
Cell Phone
TUITION RATES
TUITION RATE DEFINITIONS
Tuition rates are assessed for K-8 students based on the following:

Parishioner Rate is available for registered active members of Nativity Parish. Active members are those who attend weekly and support the parish by their contributions of time, talent and treasure.

Parishioner Rate for Other Catholics is assessed to registered active members of other Catholic parishes that do not have a Catholic School. A verification form/letter from your pastor is required annually in order to receive the parishioner rate.

Non-Parishioner Rate is assessed to Catholics from other parishes that do have a Catholic School: Catholics from other parishes that do not have a Catholic School but have not provided a verification/letter of membership from their pastor from the current school year; non-Catholics.

K-Readiness Academy tuition rates are billed per student, not based on family size or parish attended.
Tuition Rate Choice*

Parishioner RateParishioner Rate for Other CatholicsNon-Parishioner RateK-Readiness Academy
Parish Name*
Religion If Not Catholic*
TUITION PAYMENT OPTIONS
Payment in FULL Payment may be made by check (check made payable to 'Nativity of Mary School'), cash or by credit card through FACTS (2.5% fee Due by August 1st or upon receipt of bill if after.

Payment by MONTHLY installments from August through May (10 payments) One-time $45 enrollment fee charged. Payment may be made via EFT from a checking or savings account, or by credit card (for 2.5% fee Online enrollment required by June 30th or at time of registration if after. Please refer to separate FACTS documentation for details.
Tuition Payment Choice*

Payment in FULLPayment by MONTHLY installments
TUITION POLICY
If a student's tuition is in arrears more than two months at any time during the school year, the student may be placed on 'tuition hold', or be asked to withdraw from school until the amount in arrears has been paid. Exception may be made if both the parent/guardian and the school have agreed upon a written deferred plan of payment. It is the parent/guardians's responsibility to initiate this request in due time without reminder or notification from the school.

Deferred plans will be approved only in those instances where a genuine need is evident and income will be definitely available at a known time later in the school year to meet the tuition obligation.

Tuition and fees will be prorate. for each month of enrollment and refunds will be made for overpayments of tuition in whole month increments. There will be no refund of a partial month of attendance.
LATE FEES
All tuition accounts must either be paid in full or an approved payment plan must be in place by August 1st (or upon receipt of bill if after A $75 late fee will be assessed for tuition accounts not finalized by August 1st (or upon receipt of bill if after
SIGNATURES OF RESPONSIBLE PARTY
We understand that by signing this agreement for the coming academic year, we agree to accept the Tuition Policy & Late Fee information detailed above. This agreement shall be interpreted in accordance with the laws of the State of New York. If more than one person signs, each is jointly and severally liable for the amounts due under this agreement. (One payer per household. If one payer, enter 100%. In the event of two payers, please specify percentage
Responsible Party 1
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship To Student*
Email Address*
example@example.com
Phone Number*
Responsibility For Tuition *
100% if one payer. If more than one payer enter appropriate %
Date*

MonthDayYear
Date
Signature*

Clear
Responsible Party 2
Name

First NameLast Name
Relationship To Student
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone
Signature

Clear
Date

MonthDayYear
Responsibility For Tuition (If more than one payer)
LUNCH MONITOR PROGRAM
Each year we require every K-8th grade family to be involved in the Lunch Monitor Program. You will have the option to either monitor once per month from 10:55am-12:40pm or pay a nominal fee. VIRTUS Training is required to monitor. $10 fee will be assessed to your account for any days missed
Lunch Monitor Program Choice*

Monitor one per monthOpt-Out of Lunch Monitoring ($100 assessment per child)I only have a KR student, not required to lunch monitor
Parent / Guardian Name*
Parent / Guardian Signature*

Clear
This form will be on file at the Rectory/Business Office after your registration is processed. Changes can only be made through the Rectory/Business Office by calling (716) 632-8838. Please keep a copy for your records.
Should be Empty:

Tuition agreement

Mother / Guardian

Father / Guardian

TUITION RATES

TUITION RATE DEFINITIONS

TUITION PAYMENT OPTIONS

TUITION POLICY

LATE FEES

SIGNATURES OF RESPONSIBLE PARTY

Responsible Party 1

Responsible Party 2

LUNCH MONITOR PROGRAM