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Online Registration Form

Assumption B.V.M. School Registration Form 2020-2021
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  Mother
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Father
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  County Please enter valid data.
  
  What church or parish are you a registered member of? REQUIRED Assumption BVM in Pulaski, WI St. Stanislaus in Hofa Park, WI St. Casimir in Krakow, WI Other Please fill out this field.
  
  Language most spoken at home: REQUIRED English Spanish Other Please fill out this field.
  
  Religion (for office use only): REQUIRED Please fill out this field.
  
  Number of Students REQUIRED
  If enrolling multiple children, please enter youngest to oldest. Enter the youngest child below.
  Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Student's Race (for office use only): REQUIRED Please fill out this field.
  
  Student Baptism Information (Grades K - 2 Only):
  
  Name of Church: Please enter valid data.
  
  City of Church: Please enter valid data.
  
  Date of Baptism: Please enter valid data.
  
  Program enrolling in: REQUIRED 3 Year Old Preschool: T/TH AM Program ($1,550.00) 3 Year Old Preschool: T/TH Full Day ($2,350.00) 4K: M-F AM Program ($3,750.00) 4K: M-F All Day Program ($5,850.00) Kindergarten ($2,900.00 for parish members with full financial support, otherwise $3,800.00) First Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Second Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Third Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fourth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fifth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Please fill out this field.
  
  Registration Fee REQUIRED 103.5 – Existing Student (after 3/1/2020 - $100 + $3.50 convenience fee) Convenience fee for on-line payments ONLY. 51.5 – New Student Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Student's Race (for office use only): REQUIRED Please fill out this field.
  
  Student Baptism Information (Grades K - 2 Only):
  
  Name of Church: Please enter valid data.
  
  City of Church: Please enter valid data.
  
  Date of Baptism: Please enter valid data.
  
  Program enrolling in: REQUIRED 3 Year Old Preschool: T/TH AM Program ($1,550.00) 3 Year Old Preschool: T/TH Full Day ($2,350.00) 4K: M-F AM Program ($3,750.00) 4K: M-F All Day Program ($5,850.00) Kindergarten ($2,900.00 for parish members with full financial support, otherwise $3,800.00) First Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Second Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Third Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fourth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fifth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Please fill out this field.
  
  Registration Fee REQUIRED 103.5 – Existing Student (after 3/1/2020 - $100 + $3.50 convenience fee) Convenience fee for on-line payments ONLY. 51.5 – New Student Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Student's Race (for office use only): REQUIRED Please fill out this field.
  
  Student Baptism Information (Grades K - 2 Only):
  
  Name of Church: Please enter valid data.
  
  City of Church: Please enter valid data.
  
  Date of Baptism: Please enter valid data.
  
  Program enrolling in: REQUIRED 3 Year Old Preschool: T/TH AM Program ($1,550.00) 3 Year Old Preschool: T/TH Full Day ($2,350.00) 4K: M-F AM Program ($3,750.00) 4K: M-F All Day Program ($5,850.00) Kindergarten ($2,900.00 for parish members with full financial support, otherwise $3,800.00) First Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Second Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Third Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fourth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fifth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Please fill out this field.
  
  Registration Fee REQUIRED 103.5 – Existing Student (after 3/1/2020 - $100 + $3.50 convenience fee) Convenience fee for on-line payments ONLY. 51.5 – New Student Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Birthdate (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Student's Race (for office use only): REQUIRED Please fill out this field.
  
  Student Baptism Information (Grades K - 2 Only):
  
  Name of Church: Please enter valid data.
  
  City of Church: Please enter valid data.
  
  Date of Baptism: Please enter valid data.
  
  Program enrolling in: REQUIRED 3 Year Old Preschool: T/TH AM Program ($1,550.00) 3 Year Old Preschool: T/TH Full Day ($2,350.00) 4K: M-F AM Program ($3,750.00) 4K: M-F All Day Program ($5,850.00) Kindergarten ($2,900.00 for parish members with full financial support, otherwise $3,800.00) First Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Second Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Third Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fourth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Fifth Grade ($2,900.00 for parish members with full financial support, otherwise $3,800.00) Please fill out this field.
  
  Registration Fee REQUIRED 103.5 – Existing Student (after 3/1/2020 - $100 + $3.50 convenience fee) Convenience fee for on-line payments ONLY. 51.5 – New Student Please fill out this field.
  
  First Family Enrollment
  
  New families enrolling at Assumption BVM School in grades 4K-5 will receive a $300 one time tuition break on their first enrollment.
  
  Check here if you are a new family at Assumption BVM School in grades 4K-5 and this is the first student you are enrolling at Assumption BVM School.
  
  Payment Plans
  
  Please choose a payment plan. Note that you can earn a 5% discount by choosing payment plan A. Note that with plans B & C, you will always have the option to pay down the balance prior to the end date. REQUIRED Plan A: Payment in full on or before August 1, 2020 (5% discount will be applied) Plan B (ACH)*: Four equal payments in August, October, January & April (This can be paid in greater payments or in full at any time). Plan C (ACH)*: Nine equal payments in August, September, October, November, December, January, February, March & April (This can be paid in greater payments or in full at any time). Please fill out this field.
  
  * After completing the Online Registration Form, a contract will be sent home to you. When you receive the contract, please print and complete the ACH Form and return to the school office with a voided check and the signed contract. The ACH Form can be found on the website under Resources, Forms. It is also available on the Information Table in the school entrance.
  
  Assumption BVM School wants all students to be able to receive a Christ-centered education.
  
  Check here if you would like to apply for financial aid. Financial aid
  
  Third Source Funding
  
  Fundraising:
  
  4K - 5th Grade families are required to satisfy $150 per child through the purchase of Scrip, or pay balance by cash or check.
  
  Will you be participating in Fundraising? REQUIRED Yes No 3 Year Old Preschool Family ONLY (Does not apply.) Please fill out this field.
  
  Service Hours:
  
  Each family (4K - Grade 5) is required to work a minimum of 20 hours using any of the events listed on the Service Hour Opportunities Sheet . $40 per hour will be charged for any of the 20 hours not met. Pay out total is $800.
  
  Service Hour Options REQUIRED Buy out option $800 Work Service Hours (20) Combination of Service Hours and Payment ($40 per hour not completed) 3 Year Old Preschool Family ONLY (Does not apply.) Please fill out this field.
  
  This form and the registration fee are due according to the tiered fee schedule.
  
  Registration fee(s) must be received either electronically or turned in to the office by the end of the tier date for that amount to apply.
  $50 per student February 1-14, 2020
  $75 per student February 15-29, 2020
  $100 per student March 1, 2020 and later
  
  Note: For all new students, the registration fee is $50.
  
  The registration fee is non-refundable. Note that the registration fee is required to reserve your child's spot in all programs. You will receive an invoice/contract that will need to be signed and returned by April 15, 2020.
  
  Registration Agreement REQUIRED By Checking here, I indicate that I have read, understand and agree to the above. I agree to have the information that I submit in this form to be sent electronically to the school. I attest that all information submitted is complete, true and accurate. Please fill out this field.
  
  Total:
  
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Online Registration Form

Student Baptism Information (Grades K - 2 Only):

Student Baptism Information (Grades K - 2 Only):

Student Baptism Information (Grades K - 2 Only):

Student Baptism Information (Grades K - 2 Only):

Fundraising:

Service Hours: