Clone of School Registration Form

Emergency Contact 1

*Someone other than a parent
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relationship*
Emergency Contact 2

*Someone other than a parent
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relationship*
Physician and Medical Information
Physician Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Please list any of the following: Current medications, medication allergies, food allergies, chronic health concerns, other physical or medical information the school should know about your child*
Special learning needs*

Additional Student Information
Transportation*
How will your child get to and from school?
Early Dismissal*
In a case of early dismissal, what are your arrangements for your child?
Authorization: I herby authorize STMCS to allow my child to leave with:*
Please list: name/ relationship/ phone number
Please inform the office of any other vital information you think they may need to know in the event of an emergency.
After School Care

STMCS offers our own onsite after school care program for students in All Day Pre-K - 5th grade. The cost is $130 per month per child for 3- 5 days a week or $90 per month per child for 1-2 days per week. Hours - M/T/Th/F 3:30-6:00pm and Wed 2:00-6:00pm
Do you want to enroll your child in our onsite After School Care program?*

Yes - 1-2 days per weekYes - 3-5 days per weekNoInterested - but not sure at this time

Tuition Rates*

Preschool 3 - $1320Preschool 4 - $1540Preschool 4/5 - $2560All Day Pre-K - $5000K-5th - Pastorate - $2940K-5th - Non-Pastorate - $3940
*Pastorate - Registered parishioners within Pastorate 8.

St.Thomas More (Brookings)

Piux XII Newman Center (Brookings)

St. John the Evangelist (Arlington)

Our Lady of Good Counsel (Elkton)

St. Francis De Sales (Estelline)

St. Paul (White)
Tuition Payment Options*
Tuition Payment Method*
Tuition Assistance

I am interested in applying for tuition/lunch assistance based on family need.
Securing your spot:

Your child’s place is reserved once the registration fee is received.

You will receive an enrollment confirmation via email.

Waitlist: If a class fills, spots will be offered in the order of registration completion time and receipt of the registration fee.

Registration Fee

Preschool: $50 non-refundable registration fee

Kindergarten-5th grade: $100 one-time, non-refundable registration fee per child
Family maximum if enrolling multiple children: $200, non-refundable

Payment methods: Cash or check (mailed or delivered to the school office)
Please select the method of payment.

Send me a invoice in MSB -current STMCS Families only. (Please allow 1-2 school days)Cash/Check
Financial Agreement

I/We agree to pay the above total tuition to STMCS per the payment option selected above.

If payment is not received, I/we understand that I/we will recieve a verbal or written reminder, and that we will pay an additional charge of $5.00 per week.

I/We understand that it is our financial obligation to keep current with our payments or we risk forfeiting our child's enrollment at STMCS. No credit is given for absences or scheduled holiday/vacation periods.
Signature

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School Registration

Student Information

Parent/Guardian Information

Emergency Contact 1

Emergency Contact 2

Physician and Medical Information

Additional Student Information