New Student Enrollment Application - One Form Per Student

New Student Enrollment Application - 2025-2026

One Application Form Per Student
Name

First NameLast Name
Grade Level
State of Illinois

Student Mandatory Health Requirements

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NOTE - NEW STUDENTS OF RETURNING FAMILIES: Re-enrolling school families with a NEW student (2025-2026 school year) must complete this online "New Student Enrollment Application." Please upload (below) the student's birth certificate and baptismal certificate, or you may deliver a copy to the school office. DO NOT WAIT for preschool, as these openings fill up quickly.

2025-26 NEW FAMILY ENROLLMENT FEE: A $200.00, non-refundable, enrollment fee is required for NEW 2025-2026 families. Payment may be made by cash or check (payable to "St. Cletus School") and submitted to the school office at 700 W. 55th Street, La Grange, IL 60525. Note: Returning school families with a new student do NOT need to submit this fee, as it will be charged to your 2024-25 FACTS Incidental Expenses account.

NOTE: AS OF MARCH 10, 2025, THE PRE-K 4 DLI (DUAL LANGUAGE IMMERSION) CLASS IS FULL.

NOTE: AS OF MAY 5, 2025, THE JUNIOR KINDERGARTEN 4-YEAR-OLD CLASS (HALF-DAY AND FULL-DAY) IS FULL.

PRE-K 4 DUAL LANGUAGE IMMERSION (DLI) PROGRAM FOR 2025-26: In partnership with the University of Notre Dame and the Archdiocese of Chicago, we are continuing to offer this program at St. Cletus School for the second school year. The DLI program is a form of bilingual education in which students are taught literacy and academic content in Spanish and English, with the goal of achieving fluency in both languages by eighth-grade graduation. Pre-K 3-year-old students begin learning with the daily, half-hour Early Childhood Language Intensive Program (ECLIP) Spanish immersion class. Pre-K 4-year-old DLI students begin full-day Spanish immersion combined with English learning with the goal of continuing their DLI enrollment through 8th grade. Studies show that Pre-K 4 DLI students who continue their enrollment through 8th grade (a) perform as well as or better than their peers in non-dual language classrooms; (b) develop intercultural and global abilities that prepare them to succeed in today's increasingly competitive global society; and (c) develop academic proficiency in both the English and Spanish languages. For additional information about the DLI program, visit our Dual Language Immersion Informational Webpage or contact Frank Ochoa at fochoa@stcletusparish.com.

PRESCHOOL, JUNIOR KINDERGARTEN, AND KINDERGARTEN ENROLLMENT OPTIONS: Our early childhood program hours and offerings are noted below:

Pre-K 3-Year-Old Students

Half Day - 3 Mornings Per Week:  Mon., Wed., Fri. mornings from 8:00 - 11:30 a.m.

Full Day - 5 Days Per Week:  Mon. thru Fri. from 8:00 a.m. - 3:00 p.m.

JUNIOR KINDERGARTEN CLASS (HALF-DAY AND FULL-DAY) IS FULL (As of May 5, 2025) - Please contact the school office at (708) 352-4820 to be placed on the Waiting List.

Junior Kindergarten 4-Year-Old Students

  Half Day - 5 Mornings Per Week:  Mon. thru Fri. mornings from 8:00 - 11:30 a.m.

Full Day - 5 Days Per Week:  Mon. thru Fri. from 8:00 a.m. - 3:00 p.m.

PRE-K 4 DLI CLASS IS FULL (As of March 10, 2025) - Please contact the school office at (708) 352-4820 to be placed on the Waiting List.

Pre-K 4 DLI (Dual Language Immersion - English/Spanish) Students

Full Day - 5 Days Per Week:  Mon. thru Fri. from 8:00 a.m. - 3:00 p.m.

Kindergarten Students

Full Day: 5 Days Per Week:  Mon. thru Fri. from 8:00 a.m. - 3:00 p.m.

Half Day: 5 Mornings Per Week:  Mon. thru Fri. mornings from 8:00 a.m. - 11:30 a.m.

Pre-K - 8 Students - 2025-26 School Year
Student's Full Name*

First NameMiddle NameLast Name
Grade: Pre-K - 8 (2025-26)*
please review age qualifications above for preK
Child's DOB*

MonthDayYear
Date
Gender*
Religion*
Is the student's address the same as parents?*

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Baptism Information

	Church of Baptism	Baptism City	Baptism State
Student

Date of Baptism

MonthDayYear
Date

1st Reconciliation Information

	Church of Reconciliation	Reconciliation City	Reconciliation State
Student

Date of 1st Reconciliation

MonthDayYear
Date

1st Communion Information

	Church of Communion	Communion City	Communion State
Student

Date of 1st Communion

MonthDayYear
Date
Does your child have a special learning need or receive any special services?*
If Yes, Please Explain
List all the previous school(s) that your child attended, including year(s) and grade(s).*
I give permission for my child(ren) to walk or ride a bicycle to and from school.*
I give permission to publish my children(s)'s photo(s) in school publications and/or on the school website.*
Does the student have siblings?*

YesNo
Please list them below
On-line School Family Directory: DirectorySpot is an online program that provides school families with a directory containing parent contact information and student grade-level and homeroom data.

The following information is published for each family: family name; home address; phone number; parents' cell phone numbers and e-mails; and student names, grades, and homerooms. School families have editing rights and can remove data they do not want published in this database.
1. Upload a digital copy/photo of your child's birth certificate:*

Cancelof
2. Upload a digital copy/photo of your child's two (2) most recent report cards (for incoming grades 1-8 for the 2025-26 school year):

Cancelof
3. Upload a digital copy/photo of your child's Baptismal Certificate (if baptized):

Cancelof

School Information
AUTHORIZATION FOR RELEASE OF STUDENT INFORMATION / RECORDS 2025-2026 TRANSFER STUDENTS IN GRADES 1-8
Student Information

First NameLast Name
Grade Level (2024-25 School Year)
Date of Birth

MonthDayYear
Date
This request for release of record information of all records is between your current school and

St. Cletus School, 700 W. 55th Street, La Grange, Il 60525

(708) 352 - 4820 (phone) (708) 352 - 0788 (fax)
Student's Current School / Facility
School Fax Number
Please enter a valid Fax number.
School/Facility Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person
Phone Number
Please enter a valid phone number.
Do you authorize St. Cletus to speak to the student's current school?*

I AuthorizeI Do Not Authorize
Please explain:
Parent/Guardian Printed Signature*
Current Date

MonthDayYear
Date

ENROLLMENT APPLICATION FEE

ALL APPLICANTS: PLEASE SUBMIT A NON-REFUNDABLE

APPLICATION FEE: $200.00

Cash or Check Payable to "St. Cletus School"

ISBE Data Standards
Illinois State Board of Education

2025-26 U.S. Department of Education Race and Ethnicity Data Standards

Parents or Guardians must respond to both questions (Part A and Part B). If the parents or guardians decline to respond to either question (part A or part B), school staff are required to provide the missing information by observer identification.

Part A asks about the student(s)' ethnicity and Part B asks about the student's race. If you decline to respond to either question, the school is required to provide the missing information by observer identification.
Board of Education Section:*

Student First NameLast Name
INSTRUCTIONS: This form is to be filled out by the student(s)' parents or guardians, and both questions must be answered. Part A asks about the student(s)' ethnicity, and Part B asks about the student(s)' race. If you decline to respond to either question, the school is required to provide the missing information by observer identification.

Part A: Is the student Hispanic/Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American or other spanish culture or origin, regardless of race.)
Choose only one:*

No, not Hispanic/LatinoYes, Hispanic/Latino
The question above is about ethnicity, not race. No matter which answer you selected, continue and respond to the question below by marking one or more boxes to indicate what you consider the student(s)' race to be.

Part B: What is the student's race?
Choose one or more:*

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
NOTE: Data collected on this form must be maintained by the school district for three years. However, when there is litigation, a claim, an audit, or another action involving this record, the original responses must be retained until the completion of the action.

Illinois State Board of education Division of Data Analysis and Progress Reporting December 2009

Archdiocesan Statistics
St. Cletus School

Archdiocesan Statistics 2025-26 Academic Year

Public School Statistical Information:

Please indicate the public school and district number where you reside. You should be able to find this information by either consulting with a neighbor whose children attend the public school or by reviewing your property tax bill.

Your Family Name: {parents}
Student:*

First NameLast Name
Grade Level*
Archdiocesan Section*
Religious Affiliation (please check one)*

Family is Catholic and registered at St. Cletus Parish.Family is Catholic and plans to register at St. Cletus Parish.Family is Catholic and registered at another parish.Family is registered at another Christian Church.Family is of another faith tradition.Family is not affiliated with any church or religion.
When?

MonthDayYear
Date
Parish Name:
Parish City:
Does the parish have a school?

YesNo
If yes, please name:
Church Name:
Church City:
Specify Faith:
If your child was not born in the U.S., please list the country of birth below:

State of Illinois Home Language Survey
The state of Illinois requires the District to collect a Home Language Survey for every new student. This information is used to count the students whose families speak a language other than English at home. It also helps to identify the need for bilingual and English as a Second Lanaguage education services in the schools.

Please answer the questions below and return this survey to your child(ren)'s school.
Student Information:*

First NameLast Name
Grade Level*
Does anyone in your home speak a language other than English?*

YesNo
Specify what language?
Does your children speak a language other than English?*

YesNo
What language do they speak?
NOTE: If the answer to either question is yes, the school district will screen and assess your child(ren)'s English language proficiency. The school district will measure your child(ren)'s listening and speaking skills and, for students in grades 2 through 8, their reading and writing skills.
Parent/Guardian Printed Signature*
Date*

MonthDayYear
Date

Extended Care Program

Registration Form 2025-26
EXTENDED CARE INFORMATION:

PLEASE CLICK ME
Do you plan on using the extended care program?*

YesNo
Family: {nameOf} {nameOf87}

Address: {address}

Phone Number: {mothersPrimary} {fathersPrimary}
Student Information

First NameLast Name
Grade Level
Please select the following:
I anticipate using the program as noted below, with flexible dates and times as needed:

Before CareAfter Care
Select days you plan to use the After Care Program (days are flexible as needed):

MondayTuesdayWednesdayThursdayFriday
Parents' Information

Mother: {nameOf} Phone Number: {mothersPrimary}

Father: {nameOf87} Phone Number: {fathersPrimary}
Emergency contact and other adults authorized to pick up your children
NOTE: We May Request A Photo ID of Authorized Person Picking Up Your Children
Parent Authorization for before/after program enrollment (please initial below)initials*

Tuition Assistance Program
Families may apply for St. Cletus School assistance through FACTS Management's Tuition Grant & Aid Program. Go to the "Application" link below.

FACTS Tuition Grant & Aid Program (St. Cletus School Tuition Assistance)

Application

· FACTS charges a $30.00 application fee.

· Tuition assistance awards will be determined and allocated in May or June 2025.
Planning to apply for tuition assistance for 2025-2026?*

YesNo

Acknowledgement, Authorization, and Consent
By signing this form, I hereby authorize the school to use the information herein provided for the processing of my child's application. I understand that the information shared herein shall be for the purpose of the admission of my child.

I authorize and provide consent to the school in releasing my child's medical and health information with the school's health services.

In the event that my child becomes ill, sustains an injury, or in any case, needs immediate medical care during under the care and supervision of the school, I hereby authorize the school to administer first aid for my child's relief.

In the event that my child needs immediate attention and it is not practical to wait for receiving instructions from the parents or appointed legal guardian or the child, I, as a parent/legal guardian, hereby authorize the school and its staff to call 911.

I further declare that the information I have provided in this form is true and correct to the best of my knowledge.
Signature of Parent/Guardian*

Clear
Date

MonthDayYear
Date
Should be Empty:

New Student Enrollment Application - 2025-2026

Family Information

OTHER INFORMATION

Emergency Contacts (Minimum of 2 Contacts Other Than Parents)

Pre-K - 8 Students - 2025-26 School Year

School Information

ISBE Data Standards

Archdiocesan Statistics

State of Illinois Home Language Survey

School Nurse Questionnaire - Medical and Health Information

Extended Care Program

Tuition Assistance Program

Acknowledgement, Authorization, and Consent