Registration Packet 2015-2016 - Annunciation Catholic School

Dear Parents,
We are excited about the upcoming 2015-2016 school year! Thank you for once again entrusting your child’s education to
Annunciation Catholic School. As always, current families are enrolled first. Open enrollment will begin March 9, 2015
for new families.
The following is a tuition schedule for the 2015-2016 school year.
ANNUAL TUITION 2015-2016 SCHOOL YEAR
Catholics Affiliated with a parish
Grade Ps – 8
Non – Catholic/Unaffiliated Catholics
$4,200
$5,200
Example: For children in grades Ps-8th, attending Annunciation Catholic School
Catholic Affiliated with a Parish
SAVE
Non – Catholic/Unaffiliated Catholics
$ 4,200
1st child will be $4,200.00
1st child will be $5,200.00
SAVE
2nd Child save 20% will be $ 7,560.00
$840.00
2nd Child save 20% will be $ 9,360.00
1,040.00
3rd Child save 50% will be $ 9,660.00
$2940.00
3rd Child save 50% will be $ 11,960.00
3,640.00
IF YOU MAKE A FULL PAYMENT BEFORE 09/01/2015, YOU SAVE 10%
EXAMPLE: IF YOUR TUITION IS $4,200.00 AND YOU MAKE A FULL PAYMENT BEFORE 09/01/2015 YOU
SAVE $ 420.00
A $150 registration fee for the 1st student, and $125 for each additional child in the family is due at registration.
Currently enrolled families must send in the completed registration forms by April 1, 2015 to guarantee a place for
next year. The registration fee is non-refundable. Registration fee includes the Annual $25 Technology fee to be
paid per family. All families will need to provide a copy of their 2014 IRS 1040 Form.
Please note that if you have a child entering Preschool you must complete a Preschool registration form.
If your child is a new enrollee or entering Preschool (including siblings of current students), parents must bring the
following:
• A copy of the child’s birth certificate (Official State Birth Certificate, not hospital issued.)
• A copy of the child’s baptismal certificate (if Catholic)
• Child’s Immunization Records (An Immunization Card or Colorado Alternative Certificate of
Immunization are the only acceptable forms)
• A copy of the most recent report card for new students 1st grade and higher
• A copy of the 2014 IRS 1040
A registration packet is not considered complete without these items.
If you have any further questions, please call Mrs. Roberts in the school office at 303-295-2515
Sincerely,
Fr. Francisco Ramirez, OFM. Cap
Parish Pastor
Mrs. Debra Roberts
Principal
Registration Packet Checklist for Current Families
2015 – 2016
•
CHECK FOR TOTAL FEES DUE ($150 1st student, $125 for each additional child Registration
Fee)
o $150 – 1 student
o $ 275 - 2 students
o $400– 3 students
o $525– 4 students
•
2015-2016 REGISTRATION FORM COMPLETED
•
PARENT PERMISSION FORM – INITIALED, SIGNED, AND DATED
•
ACTIVE PARISHIONER FORMS
o Annunciation Active Parishioners need Fr. Francisco’s signature prior to turning form into
the office.
o Other Archdiocese of Denver Active parishioners (other than Annunciation) must also have
their pastor sign the form before it is turned in to the office.
•
2015-2016 TUITION CONTRACT COMPLETED
o
o
o
o
o
•
Parish (only if you are an Active parishioner in the Archdiocese of Denver)
Students(s)’ name, birthdate, grade
Printed name of person responsible for TUITION contract
Signature/Date of person responsible for tuition (MUST be the same as printed name for the
TUITION contract)
Smart Tuition Application completed online (www.enrollwithsmart.com) Mandatory for all parents
COMPLETE DOCUMENTATION FOR NEW ENROLLEES
o
o
o
o
o
o
o
Copy of official Birth Certificate (issued by the state in which the child was born)
Copy of Baptismal Certificate (If child is not Catholic please note on the Registration Form)
Immunization Records (an Immunization card or Colorado Alternative Certificate of Immunization
are the only two acceptable forms. All others will be returned to the parent with a request for the
correct form) this must be provided prior to the first day of school.
Copy of the most recent report card for grades 2 – 8 (only if child is new to Annunciation)
Copy of IEP or other testing from previous school
Smart Tuition Application completed online (www.enrollwithsmart.com) Mandatory for all parents
Copy of 2014 IRS 1040
IF ANY ITEMS ARE INCOMPLETE OR MISSING, THE ENTIRE PACKET WILL BE RETURNED
AND SPACE IS NOT GUARANTEED.
Annunciation Catholic School
2015-2016 Registration Form
Family Name ___________________________________________________________________________
(If student’s name is different from the family name, please list his/her name first and then the family name)
Student(s) lives with: Both Parents _______ Mother _______ Father _______ Other _______
Parent/Guardian Information
Mother
Father
Name __________________________________________________
Name ____________________________________________________
Address ________________________________________________
Address (if different) _________________________________________
City, State, Zip ___________________________________________
City, State, Zip _____________________________________________
Home Phone _____________________________________________
Home Phone _______________________________________________
Employer _______________________________________________
Employer _________________________________________________
Work Phone _____________________________________________
Work Phone _______________________________________________
Cell Phone ______________________________________________
Cell Phone ________________________________________________
Religious Affiliation ______________________________________
Religious Affiliation ________________________________________
Parish or Church _________________________________________
Parish Church _____________________________________________
Step-Parent (if applicable) _________________________________
Step-Parent (if applicable) ___________________________________
E-mail Address __________________________________________
E-mail Address ____________________________________________
Student(s) registering for school at Annunciation Catholic School:
NAME GRADE 2015-­‐2016 GENDER (M/F) DATE OF BIRTH (mm/dd/yy) If new to Annunciation Catholic School, please list previous school:
Name _______________________________________________
Address ___________________________________________
For the purpose of completing state and federal reports that require the ethnicity and race of pupils enrolled, we are asking your voluntary cooperation. Please mark the
appropriate classification for your student(s).
Ethnicity (as requested for U.S. Census Bureau Reporting):
______ Hispanic/Latino ______ Other
Race (as requested for U.S. Census Bureau Reporting): ______ American Indian/Native Alaskan
______ Asian
______ Black/African American
______ Native Hawaiian/Pacific Islander
______ White
______ Two or more races
Your Neighborhood Public School District
______________________ Name of Your Neighborhood Public School____________________________
Please list names of anyone who should not pick up your child from school.
stamped custody papers or restraining orders at the time of registration.
Please provide school with original court
Name _________________________________________________________
Name _________________________________________________________
Relationship ___________________________________________________
Relationship ____________________________________________________
Comments: (Please list any personal/medical conditions in your current family situation which you feel would be beneficial for the school to know).
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
Annunciation Catholic School
2015-2016
SUBJECT: Parent Permissions
By initialing the items below, you have given your written permission for your child to be
included in:
_____
Posting of your child’s name on athletic rosters/co-curriculars
_____
School Marketing Videos and Brochures
_____
Posting on Awards List
_____
School Year Book
_____
Permission for any photograph of my child (or family member) that exhibits the
educational and Christian values of Annunciation Catholic School to be used on
the website or on the Parish bulletin board. I understand that I may request the
removal of any photograph at any time. List family members: ________________
__________________________________________________________________
_____
Permission for my child’s photo only (no names or identifiable statements) to be
posted on the school’s Facebook business page
_____
Permission for my child’s written work or artwork to be posted on Facebook,
website or on the Parish bulletin board. I understand that I may request the removal
of any work at any time
Family Name:
_____________________________________________________________
Child(ren)’s Name:
________________________________________________________
Parent Signature: __________________________________________ Date: _____________
REGISTRATION FORM
NEW STUDENT ONLY
Student Name___________________________ Age_____ Grade_______
BirthDate________________________
Ethnicity (as requested for U.S. Census Bureau Reporting): _____ Hispano/Latino _____ Other
Race (as requested for U.S. Census Bureau Reporting): _____ American Indian/Native Alaskan ____ Asian ____ Black/African
American ____ Native Hawaiian/Pacific Islander _____ White ____ Two or more races _____ School District
____________________ Name of School _____________________________________
Birth Place_______________________________ Last School Attended_________________________________________
Parents Name_________________________________________________________________________________________
Address___________________________________________________ Phone #____________________________________
Fathers Full Name__________________________ Birthplace_____________________Religion____________________
Occupation_____________________
Mothers (maiden)Name_________________________ Birthplace___________________Religion___________________
Occupation______________________
Name of Church you Attend____________________________________________________________________________
Home Situation (give dates when known)
Deceased:
Mother_________ Divorced_______Parents Separated______ Remarried: Mother______
Father__________
Father______
With whom does pupil live, if not with both Parents:
______________________________________________________________________________________________________
Relationship___________________ Religion____________________ Occupation________________________________
Number Of Older Sisters________ Brothers_________ Number of Younger Sisters________ Brothers__________
Is your child covered by Insurance: Yes______ No_____ Name of Insurance Company________________________
Date:
Baptism____________ Church_______________________ City_______________State_____
First Communion____________Church_________________ City_____________State_____
Confirmation______________ Church________________________ City_________State_____
Student’s Educational Background:
School
Grade(s) attended
______________________________
_______ Grade repeated , if any_______Reason________________
______________________________
_______
______________________________
_______
** Has child ever been in Special Education Program? _______Yes _____No
**Has child ever been diagnosed as having a learning disabilty? ______Yes ______No
If Yes diagnosis:______________________________________________________________________________________
Has the child ever had an educational evaluation? If yes attach a copy of evaluation
**IF transferred from another school, please give reason for transfer:_____________________________________
**Does your child have any allergies?___________________________________________________________________
**Are there any concerns by your physician:____________________________________________________________
How did you learn about Annunciation Catholic School?_________________________________________________
Signature____________________________________
Mother/Father/Guardian
Date______________________________
FORMA DE MATRICULA
PARA NUEVO ESTUDIANTE
Nombra de Estudiante______________________________ Edad_________ Grado__________ Fecha de Nacimiento
Etnicidad ________________Distrito Escolar ______ Nombre de la Escuela en su Distrito _____________________
Lugar de Nacimiento___________________________ Ultima Escuela ________________________________________
Nombre de Padres_____________________________________________________________________________________
Direccion_____________________________________________________________Telefono_________________________
Nombre de Padre__________________________________Lugar de Nacimiento_________________________________
Religion_______________________________ Ocupacion________________________________________
Nombre de Madre__________________________Lugar de Nacimiento________________________________________
Religion___________________________Ocupacion__________________________________________________________
Nombra de Iglesia Donde Participan_____________________________________________________________________
Situacion de Casa:
Fallecidos:
Madre___
Padres separados_____ Casados de Nuevo:
Madre____
Padre___
Divorciados______
Padre____
Con quien vive el estudiante si/es que no vive con los Padres:
______________________________________________________________________________________________________
Relacion_____________________ Religion_______________________ Ocupacion________________________________
Numero de hermanas mayores ______ hermanos_______Numero de hermanas menores______ hermanos______
Bautismo
Primera Comunion
Confirmado
Fecha: ________________
_____________________________
_______________________
Parroquia: ________________
______________________________
_______________________
Cuidad/Estado:_____________
_____________________________
________________________
A estado su hijo/a en classes especiales o programas: Si ___ No ___
LD_________Chapt. I _________I_________TLC_______Habla_______ Otros __________________________
ANNUNCIATION CATHOLIC SCHOOL
ACTIVE PARISHIONER FORM
ARCHDIOCESE OF DENVER PARISHES
School Year 2015-2016
This form is for families who are actively involved in parishes in the Archdiocese of Denver and registering for grades
Kindergarten through 8th. CSAF funds are given to our school (not the family) as a sign of joint commitment to Catholic
education as offered through the Archdiocesan School System.
In order to qualify, this form MUST be signed by your pastor. Please complete this form, present it to your pastor for his
signature and return it with your other registration materials. IF YOUR PASTOR DOES NOT SIGN THIS FORM,
YOUR TUITION RATE WILL BE ADJUSTED TO THE NON-CATHOLIC/UNAFFILIATED RATE OF $5,200
PER STUDENT.
This/These student(s) and parent(s) listed below are active parishioners in my parish according to the Archdiocesan
Guidelines as follows:
1. This family has been registered in the parish for six months
2. This family verifiably (through use of offertory envelopes or online giving) contributes on a regular basis for the
financial support of the parish
3. This family attends Mass regularly and is involved in the activities, organizations, or programs at the parish
_________________________________
Parish in which you are active
________________________________
City
_________________________________
Parent(s)’/Guardian(s)’ Name
________________________________
Phone
_________________________________
Address
________________
City
Students Names ____________________
____________________
____________________
____________________
____________________
Grade ______
Grade ______
Grade ______
Grade ______
Grade ______
Signed: __________________________
(Pastor or designee of Affiliated Parish)
___________
ZIP
_______________
Date