2021-22 Registration Form Step 1 of 11 9% Are you a new ASCS Family?*You are considered a new family if you did not have a child enrolled in Saints in Training or K4-8th grade at ASCS for the 2020-21 school year. Yes No How were you referred to ASCS?* Number of Students Enrolling*123456Parishioner Status*Please indicate if you are an active parishioner at one of our 10 supporting parishes by selecting your parish below. Parishioner status will be verified for tuition discount purposes. St. AnneSt. AnthonySt. ElizabethSt. JamesSt. MarySt. Mark the EvangelistSt. PeterOur Lady of the Holy RosaryOur Lady of Mount CarmelSt. Therese of LisieuxOtherI do not belong to any parishOther Parish*Please enter the parish you attend. Primary Language*What is the primary language spoken at home? English Spanish Parent Marital Status*MarriedSingle-FatherSingle-MotherSeparatedDivorcedWidowed-FatherWidowed-MotherWill you be providing contact information for the mother?* Yes No Will you be providing contact information for the father?* Yes No Primary Residence*If divorced or separated, please indicate primary residence. If there are any legal restrictions regarding child custody, please provide documentation with paperwork at packet pickup.Both ParentsMotherFatherOtherParent NotesPlease provide any other information regarding child custody that would be pertinent to ASCS. Student InformationIs this a new ASCS student?* Yes No Does your child have an IEP or require any additional services?* Yes No If yes, please explain.*Has your child ever been expelled?* Yes No Please submit your child's original birth certificate and updated immunization record to your campus office. Student's Legal First Name* Student's Legal Middle Name Student's Legal Last Name* Student's Gender* Male Female Student's Birthdate* MM slash DD slash YYYY Is the Student Hispanic?*YesNoStudent's Ethnic Background*American Indian / Native AlaskanAsianBlackMulti-racialNative Hawaiian / Other Pacific IslanderWhiteStudent's Grade Level*Entering 2021-22 school year3-year-old preschool program (Saints in Training)K4 (Full Day)K4 (Half Day)Kindergarten12345678Choir / Band / Orchestra Selection*Students in grades 4-8 can choose between choir, orchestra, or band as their fine arts curriculum. All students in grades 4-8 will be assessed a $100 fine arts fee to cover the cost of additional programming for theatre, band, orchestra, and choir.ChoirBandOrchestraSaints in Training Program Half-Day Full-Day Is the student fully potty trained?Please note: Children attending Saints in Training are required to be fully potty trained by the first day of school. Yes No Child's First Day of Attendance (if different from the first day of school) MM slash DD slash YYYY Current School, if different from ASCS Current School Address, if different from ASCS Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student's Religion* Catholic Non-Catholic Has this student been baptized?*New students are required to have a copy of their Baptismal Certificate on file by the start of school year. Yes No Has this student made their First Holy Communion?*At the start of the 2021-22 school year, has your child made his/her First Holy Communion? Yes No Please list the parish where this student made their First Holy Communion.* Illness/DisabilityPlease list any illness/disability. Ex: ADD, ADHD, depression and/or anxiety, heart trouble, epilepsy, diabetes, asthma, etc. or any drug allergies.Medication (School or Home)Please list any medications that your child takes at school or home.Second Student InformationIs the second student a new ASCS student? Yes No Does the second student have an IEP or require any additional services?* Yes No If yes, please explain.*Has the second student ever been expelled?* Yes No Please submit your child's original birth certificate and updated immunization record to your campus office. Second Student's Legal First Name* Second Student's Legal Middle Name Second Student's Legal Last Name* Second Student's Gender* Male Female Second Student's Birthdate* MM slash DD slash YYYY Is the Second Student Hispanic?*YesNoSecond Student's Ethnic Background*American Indian / Native AlaskanAsianBlackMulti-racialNative Hawaiian / Other Pacific IslanderWhiteSecond Student's Grade Level*Entering 2021-22 school year3-year-old preschool program (Saints in Training)K4 (Full Day)K4 (Half Day)Kindergarten12345678Second Student's Choir / Band / Orchestra Selection*Students in grades 4-8 can choose between choir, orchestra, or band as their fine arts curriculum. All students in grades 4-8 will be assessed a $100 fine arts fee to cover the cost of additional programming for theatre, band, orchestra, and choir.ChoirBandOrchestraSaints in Training Program Half-Day Full-Day Is the second student fully potty trained?Please note: Children attending Saints in Training are required to be fully potty trained by the first day of school. Yes No Child's First Day of Attendance (if different from the first day of school) MM slash DD slash YYYY Second Student's Current School, if different from ASCS Second Student's Current School Address, if different from ASCS Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Second Student's Religion* Catholic Non-Catholic Has the second student been baptized?*New students are required to have a copy of their Baptismal Certificate on file by the start of school year. Yes No Has the second student made their First Holy Communion?*At the start of the 2021-22 school year, has your child made his/her First Holy Communion? Yes No Please list the parish where the second student made their First Holy Communion.* Second Student Illness/DisabilityPlease list any illness/disability. Ex: ADD, ADHD, depression and/or anxiety, heart trouble, epilepsy, diabetes, asthma, etc. or any drug allergies.Second Student Medication (School or Home)Please list any medications that your child takes at school or home.Third Student InformationIs the third student a new ASCS student? Yes No Does the third student have an IEP or require any additional services?* Yes No If yes, please explain.*Has your child ever been expelled?* Yes No Please submit your child's original birth certificate and updated immunization record to your campus office. Third Student's Legal First Name* Third Student's Legal Middle Name Third Student's Legal Last Name* Third Student's Gender* Male Female Third Student's Birthdate* MM slash DD slash YYYY Is the Third Student Hispanic?*YesNoThird Student's Ethnic Background*American Indian / Native AlaskanAsianBlackMulti-racialNative Hawaiian / Other Pacific IslanderWhiteThird Student's Grade Level*Entering 2021-22 school year3-year-old preschool program (Saints in Training)K4 (Full Day)K4 (Half Day)Kindergarten12345678Third Student's Choir / Band / Orchestra Selection*Students in grades 4-8 can choose between choir, orchestra, or band as their fine arts curriculum. All students in grades 4-8 will be assessed a $100 fine arts fee to cover the cost of additional programming for theatre, band, orchestra, and choir.ChoirBandOrchestraSaints in Training Program Half-Day Full-Day Is the third student fully potty trained?Please note: Children attending Saints in Training are required to be fully potty trained by the first day of school. Yes No Child's First Day of Attendance (if different from the first day of school) MM slash DD slash YYYY Third Student's Current School, if different from ASCS Third Student's Current School Address, if different from ASCS Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Third Student's Religion* Catholic Non-Catholic Has the third student been baptized?*New students are required to have a copy of their Baptismal Certificate on file by the start of school year. Yes No Has the third student made their First Holy Communion?*At the start of the 2021-22 school year, has your child made his/her First Holy Communion? Yes No Please list the parish where the third student made their First Holy Communion.* Third Student Illness/DisabilityPlease list any illness/disability. Ex: ADD, ADHD, depression and/or anxiety, heart trouble, epilepsy, diabetes, asthma, etc. or any drug allergies.Third Student Medication (School or Home)Please list any medications that your child takes at school or home.Fourth Student InformationIs the fourth student a new ASCS student? Yes No Does the fourth student have an IEP or require any additional services?* Yes No If yes, please explain.*Has your child ever been expelled?* Yes No Please submit your child's original birth certificate and updated immunization record to your campus office. Fourth Student's Legal First Name* Fourth Student's Legal Middle Name Fourth Student's Legal Last Name* Fourth Student's Gender* Male Female Fourth Student's Birthdate* MM slash DD slash YYYY Is the Fourth Student Hispanic?*YesNoFourth Student's Ethnic Background*American Indian / Native AlaskanAsianBlackMulti-racialNative Hawaiian / Other Pacific IslanderWhiteFourth Student's Grade Level*Entering 2021-22 school year3-year-old preschool program (Saints in Training)K4 (Full Day)K4 (Half Day)Kindergarten12345678Fourth Student's Choir / Band / Orchestra Selection*Students in grades 4-8 can choose between choir, orchestra, or band as their fine arts curriculum. All students in grades 4-8 will be assessed a $100 fine arts fee to cover the cost of additional programming for theatre, band, orchestra, and choir.ChoirBandOrchestraSaints in Training Program Half-Day Full-Day Is the fourth student fully potty trained?Please note: Children attending Saints in Training are required to be fully potty trained by the first day of school. Yes No Child's First Day of Attendance (if different from the first day of school) MM slash DD slash YYYY Fourth Student's Current School, if different from ASCS Fourth Student's Current School Address, if different from ASCS Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Fourth Student's Religion* Catholic Non-Catholic Has the fourth student been baptized?*New students are required to have a copy of their Baptismal Certificate on file by the start of school year. Yes No Has this fourth student made their First Holy Communion?*At the start of the 2021-22 school year, has your child made his/her First Holy Communion? Yes No Please list the parish where the fourth student made their First Holy Communion.* Fourth Student Illness/DisabilityPlease list any illness/disability. Ex: ADD, ADHD, depression and/or anxiety, heart trouble, epilepsy, diabetes, asthma, etc. or any drug allergies.Fourth Student Medication (School or Home)Please list any medications that your child takes at school or home.Fifth Student InformationIs the fifth student a new ASCS student? Yes No Does the fifth student have an IEP or require any additional services?* Yes No If yes, please explain.*Has your child ever been expelled?* Yes No Please submit your child's original birth certificate and updated immunization record to your campus office. Fifth Student's Legal First Name* Fifth Student's Legal Middle Name Fifth Student's Legal Last Name* Fifth Student's Gender* Male Female Fifth Student's Birthdate* MM slash DD slash YYYY Is the Fifth Student Hispanic?*YesNoFifth Student's Ethnic Background*American Indian / Native AlaskanAsianBlackMulti-racialNative Hawaiian / Pacific IslanderWhiteFifth Student's Grade Level*Entering 2021-22 school year3-year-old preschool program (Saints in Training)K4 (Full Day)K4 (Half Day)Kindergarten12345678Fifth Student's Choir / Band / Orchestra Selection*Students in grades 4-8 can choose between choir, orchestra, or band as their fine arts curriculum. All students in grades 4-8 will be assessed a $100 fine arts fee to cover the cost of additional programming for theatre, band, orchestra, and choir.ChoirBandOrchestraSaints in Training Program Half-Day Full-Day Is the fifth student fully potty trained?Please note: Children attending Saints in Training are required to be fully potty trained by the first day of school. Yes No Child's First Day of Attendance (if different from the first day of school) MM slash DD slash YYYY Fifth Student's Current School, if different from ASCS Fifth Student's Current School Address, if different from ASCS Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Fifth Student's Religion* Catholic Non-Catholic Has the fifth student been baptized?*New students are required to have a copy of their Baptismal Certificate on file by the start of school year. Yes No Has this fifth student made their First Holy Communion?*At the start of the 2021-22 school year, has your child made his/her First Holy Communion? Yes No Please list the parish where the fifth student made their First Holy Communion.* Fifth Student Illness/DisabilityPlease list any illness/disability. Ex: ADD, ADHD, depression and/or anxiety, heart trouble, epilepsy, diabetes, asthma, etc. or any drug allergies.Fifth Student Medication (School or Home)Please list any medications that your child takes at school or home.Sixth Student InformationIs the sixth student a new ASCS student? Yes No Does the sixth student have an IEP or require any additional services?* Yes No If yes, please explain.*Has your child ever been expelled?* Yes No Please submit your child's original birth certificate and updated immunization record to your campus office. Sixth Student's Legal First Name* Sixth Student's Legal Middle Name Sixth Student's Legal Last Name* Sixth Student's Gender* Male Female Sixth Student's Birthdate* MM slash DD slash YYYY Is the Sixth Student Hispanic?*YesNoSixth Student's Ethnic Background*American Indian / Native AlaskanAsianBlackMulti-racialNative Hawaiian / Pacific IslanderWhiteSixth Student's Grade Level*Entering 2021-22 school year3-year-old preschool program (Saints in Training)K4 (Full Day)K4 (Half Day)Kindergarten12345678Sixth Student's Choir / Band / Orchestra Selection*Students in grades 4-8 can choose between choir, orchestra, or band as their fine arts curriculum. All students in grades 4-8 will be assessed a $100 fine arts fee to cover the cost of additional programming for theatre, band, orchestra, and choir.ChoirBandOrchestraSaints in Training Program Half-Day Full-Day Is the sixth student fully potty trained?Please note: Children attending Saints in Training are required to be fully potty trained by the first day of school. Yes No Child's First Day of Attendance (if different from the first day of school) MM slash DD slash YYYY Sixth Student's Current School, if different from ASCS Sixth Student's Current School Address, if different from ASCS Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Sixth Student's Religion* Catholic Non-Catholic Has the sixth student been baptized?*New students are required to have a copy of their Baptismal Certificate on file by the start of school year. Yes No Has this sixth student made their First Holy Communion?*At the start of the 2021-22 school year, has your child made his/her First Holy Communion? Yes No Please list the parish where the sixth student made their First Holy Communion.* Sixth Student Illness/DisabilityPlease list any illness/disability. Ex: ADD, ADHD, depression and/or anxiety, heart trouble, epilepsy, diabetes, asthma, etc. or any drug allergies.Sixth Student Medication (School or Home)Please list any medications that your child takes at school or home. Parent's InformationFather's InformationFather/Guardian's Full Name* First Last Father/Guardian's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father/Guardian's Home Phone*Father/Guardian's Cell PhoneFather/Guardian's Work PhoneFather's Place of Employment* Father/Guardian's EmailMajority of communication is done via email. Enter Email Confirm Email Father/Guardian's Religion* Catholic Non-Catholic Father/Guardian's Parish*St. AnneSt. AnthonySt. ElizabethSt. JamesSt. MarySt. Mark the EvangelistSt. PeterOur Lady of the Holy RosaryOur Lady of Mount CarmelSt. Therese of LisieuxOtherI do not belong to any parish.Other Parish*Please enter the parish you attend. Stepmother (if applicable) Stepmother Phone (if applicable)Stepmother Email (if applicable) Mother's InformationMother/Guardian's Full Name* First Last Same as Father's Address? Yes No Mother/Guardian's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother/Guardian's Home Phone*Mother/Guardian's Cell PhoneMother/Guardian's Work PhoneMother's Place of Employment* Mother/Guardian's EmailMajority of communication is done via email. Enter Email Confirm Email Mother/Guardian's Religion* Catholic Non-Catholic Mother/Guardian's Parish*St. AnneSt. AnthonySt. ElizabethSt. Francis XavierSt. JamesSt. John the BaptistSt. MarySt. Mark the EvangelistSt. PeterOur Lady of the Holy RosaryOur Lady of Mount CarmelSt. Therese of LisieuxOtherI do not belong to any parish.Other Parish*Please enter the parish that you attend. Stepfather (if applicable) Stepfather Phone (if applicable)Stepfather Email (if applicable) Other Children in Household (not attending All Saints Catholic School)If there are no other children in the household, please click "Next" at the bottom of the page.Other Child #1 Name Other Child #1 - M/FMaleFemaleOther Child #1 - Birthdate MM slash DD slash YYYY Other Child #2 Name Other Child #2 - M/FMaleFemaleOther Child #2 - Birthdate MM slash DD slash YYYY Other Child #3 Name Other Child #3 - M/FMaleFemaleOther Child #3 - Birthdate MM slash DD slash YYYY Other Child #4 Name Other Child #4 - M/FMaleFemaleOther Child #4 - Birthdate MM slash DD slash YYYY GrandparentsPlease provide grandparents information, so that we can contact them for Grandparents Day, our Annual Fund and other ASCS events. Grandparent Name First Last Grandparent Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Grandparent Email Second Grandparent Name First Last Second Grandparent Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Second Grandparent Email Preferred Email Contact InformationPreferred Email*Please enter the preferred email for school communications. Secondary Email (if applicable) Preferred Phone Number for Text Messages*Secondary Phone Number for Text Messages (if applicable) Emergency InformationParent/Guardian Contact Order*Please list the order in which the parents or guardians should be contacted in the case of an emergency and the phone number.If a parent cannot be reached, in case of my child(ren)'s illness, my child(ren) may be picked up by the following individuals (listed in order of preference).Emergency Contact #1 Name*Please list someone other than parents. First Last Emergency Contact #1 Phone*Emergency Contact #1 Relationship* Emergency Contact #2 Name*Please list someone other than parents. First Last Emergency Contact #2 Phone*Emergency Contact #2 Relationship* Emergency Contact #3 NamePlease list someone other than parents. First Last Emergency Contact #3 PhoneEmergency Contact #3 Relationship Physician/Hospital InformationFamily Physician Name* Family Physician Phone*Rescue Squad*In extreme cases, I authorize school personnel to call the rescue squad. Yes No Hospital*If necessary, the child may be taken to the following Hospital/Medical Center. Aurora Medical Center - Kenosha Froedtert - Kenosha Froedtert - Pleasant Prairie (St. Catherine's) Consent InformationImage Consent and Authorization*I, and on behalf of my minor children listed herein, hereby (1) grant ASCS permission to use, adapt, reproduce, distribute, publically perform and display, in any form, my and my child’s (children’s) images, likenesses, voices, names throughout the world, by incorporating them into any promotional material, brochures, print advertising, print material, photo exhibits, videos, and/or any other media for commercial, informational, educational, advertising, or any other related pursuits of ASCS and the Archdiocese of Milwaukee; and (2) waive any right to compensation for said uses by ASCS or the Archdiocese of Milwaukee as set forth herein. Yes No Mobile Classroom Permission*My child/children are eligible to participate in a school sponsored activity * at a walking location away from the school building * at any of our ten parish sites * bussing ASCS students to SJCA for special events. These activities will take place under the guidance and supervision of employees from All Saints Catholic School. Yes No Tuition Supplement Intention*Due to the financial challenge brought about by the pandemic and the reduction in parish support, we are asking our families to prayerfully consider making a tax-deductible contribution as a supplement to tuition. Please indicate your intention to provide a tax-deductible tuition supplement. Supplement payments can be made by check or by credit card on the ASCS website. Yes, I'd like to make a one-time tuition supplement payment. Yes, I'd like to make periodic tuition supplement payments. No, I do not wish to commit to a tuition supplement payment at this time. Digital SignatureBy typing my name and email address, I understand that I am "signing" this form, as the parent or legal guardian, and that if any of the information contained herein is determined to be false, this registration form will be considered void. I /We agree to assume responsibility for all tuition and other expenses of the student(s) while attending All Saints Catholic School (ASCS). I/We also give permission to ASCS to request and receive all pertinent records from my/our children’s current school. On applications where only one signature of a parent/guardian is provided, ASCS will assume this parent/guardian will be solely responsible for tuition and other expenses. A confirmation email will be sent to the email entered below to verify that your submission was received.Your Name*Please enter the name of the person completing this enrollment form. First Last Your Email* Enter Email Confirm Email Today's Date* MM slash DD slash YYYY Tuition I /We agree to assume responsibility for all tuition and other expenses of the student(s) while attending All Saints Catholic School (ASCS). I/We also give permission to ASCS to request and receive all pertinent records from my/our children’s current school. On applications where only one signature of a parent/guardian is provided, ASCS will assume this parent/guardian will be solely responsible for tuition and other expenses. Responsible Parent/Guardian for Tuition* Mother Father Both How do you intend to pay your 2021-22 Tuition?* I plan to pay my tuition in installments with the first payment due July or August 2021 (depending on the plan selected) utilizing the FACTS Tuition Payment Plan. I plan to pay my tuition in full by Wednesday, June 23, 2021 FACTS Tuition Payment Plan*ASCS utilizes the FACTS tuition payment plan. Please indicate which payment schedule you will select when setting up your FACTS Plan. If you do not currently have a FACTS account, you will need to set up an account. 10 payments (10 monthly payments: 5th or 20th of the month, beginning in August thru May) 12 payments (12 monthly payments: 5th or 20th of the month, beginning in July thru June) 20 payments (10 bi-monthly payments: 5th and 20th of month, beginning in August thru May) 24 payments (12 bi-monthly payments: 5th and 20th of the month, beginning in July thru June) 4 quarterly payments (August, November, February, May) 2 semester payments (August & January) Full payment paid through FACTS (August) Tuition Deposit Payment* I will pay online via credit card (includes a minimal processing fee) I will pay online via Paypal (includes a minimal processing fee) I will send my check to the office New Family One-Time Registration Fee (non-refundable)* Price: New Family One-Time Registration Fee (non-refundable)* Price: New Family One-Time Registration Fee (non-refundable)* Price: Tuition Deposit* Price: Online PaymentTotal (including convenience fee)* Price: $3.30 Total (including convenience fee)* Price: $3.30 Total Price: $0.00 Quantity: Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit CardCard Details Cardholder Name
