STS PETER AND PAUL REGISTRATION FORM

SS PETER & PAUL SCHOOL
5480 Main Street
Williamsville, New York 14221
Phone: (716) 632-6146 - FAX: (716) 626-0972
www.ssppschool.com
(All information is CONFIDENTIAL and must be completed.)

REGISTRATION FORM
Registration for Grade blanks For September 20blank
Student Name:

First NameMiddle NameLast Name
Gender
Student Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Date of Birth:

MonthDayYear
Date
City Student was Born:
Date entered U.S. (if applicable)

MonthDayYear
Date
Student Ethnicity:

CaucasianBlackHispanicAsianAlaskanMulticulturalIndan
Religion:
Parish:
School District:
Student Resides with:

Both ParentsMotherFatherGuardian
Household Last Name:
Household Language:
Household Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Household Phone (if a landline):
Please enter a valid phone number.
Preferred Email:
Father's Name:

First NameMiddle NameLast Name
Father's Cell Phone:
Please enter a valid phone number.
Father's Email:
Father's Occupation:
Title or Position:
Name of Company:
Business Phone:
Please enter a valid phone number.
Marital status:

MarriedDivorcedSeparatedRemarriedSingleDeceased
Mother's Name:

First NameMiddle NameLast Name
Mother's Cell Phone:
Please enter a valid phone number.
Mother's Email:
Mother's Occupation:
Title or Position:
Name of Company:
Business Phone:
Please enter a valid phone number.
Marital status

MarriedDivorcedSeparatedRemarriedSingleDeceased
If parents are divorced, a copy of the custodial agreement MUST be provided to the school.

Cancelof
If Applicable: Guardian Name
Guardian Email:
Guardian Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to Student:
Guardian Phone:
Siblings:
Does your child have any physical or academic needs that would require an individualized education plan?
School Last Attended:
Date of Withdrawal:

MonthDayYear
Date
Is there information you think may help us to know and understand your child?

SACRAMENTS

	Date	Church	City
Baptism
Reconciliation
Fist Eucharist

EMERGENCY CONTACTS (Besides Parents/Guardians)
Name 1:
Relation to Student:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:
Please enter a valid phone number.
Cell Phone:
Please enter a valid phone number.
Name 2:
Relation to Student:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:
Please enter a valid phone number.
Cell Phone:
Please enter a valid phone number.
Name 3:
Relation to Student:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:
Please enter a valid phone number.
Cell Phone:
Please enter a valid phone number.

Tuition Payment Form
This form must be completed by all parents with students attending Saints Peter and Paul School before the enrollment process can be fulfilled.
School Year:
Grade Level(s):
Pre-K Level(s)
1st Parent/Guardian Name:

First NameLast Name
2nd Parent/Guardian Name:

First NameLast Name
Address of Responsible Parent/Guardian:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:
Please enter a valid phone number.
Email

Students

	Name(s) of Students:	D.O.B.	Grade
1
2
3
4

Tuition for the Current School Year:
Tuition for Current School Year will be paid by the following option: (Choose only one) *

Payment in FullMonthly payments via FACTS Management
Payment in Full
Single payment due on or before August 15th, 2025, payable directly to Ss. Peter and Paul School. This option entitles the responsible party to a $100 Paid in Full Discount. If payment in full is not received on or before the due date, the discount is void. Payments made to the office must be check only. There is an annual FACTS Enrollment Fee charged by FACTS. FACTS deducts the FACTS Enrollment Fee automatically from your account within 14 days of the date your agreement is posted to the FACTS System.

Monthly payments via FACTS Management
Automatic bank payment (ACH) through your checking or savings account may be made either on the 5th or 20th of each month, beginning in July and ending in June. There is an annual FACTS Enrollment Fee. All families are required to enroll in the FACTS program, which is to be completed online at the time of registration. The FACTS Link is accessible from the school's website. FACTS deducts the FACTS Enrollment Fee automatically from your account within 14 days of the date your agreement is posted to the FACTS System. Families who are currently enrolled in the FACTS program will be electronically re-enrolled for the next school year.

Withdrawal from Saints Peter and Paul School: Families who withdraw a student and have paid tuition in full or via FACTS will be charged a $50.00 processing fee. Pro-rated tuition will be refunded as follows: before September 30th —75% of tuition only; October thru December — 50% refund tuition only; and January thru June — no refund. Families who withdraw because of an out-of-state move will receive a pro-rated tuition only refund.

I, We agree to make 100% of tuition payments for the current school year according to one of the options listed above.
Signature

Clear
Date

MonthDayYear
Date
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

REGISTRATION FORM

EMERGENCY CONTACTS (Besides Parents/Guardians)

Tuition Payment Form