New Student(s) Application Form 
St. Therese Catholic School


Thank you for your interest in St. Therese School. We look forward to getting to know you and your student!





Tuition Information

ENROLLMENT IN ST. THERESE CATHOLIC SCHOOL
St. Therese is a stewardship parish. This means that all parish members are asked to make a financial commitment to St. Therese Catholic Community to fund all ministries. Please keep in mind that the cost of educating each student at St. Therese School is $6,200 per year.

The requirements for entry into St. Therese School are as follows:

 You must be a registered active member of St. Therese Catholic Community for at least one year prior to entrance in our
school (or active member of your previous Catholic parish if moving from outside of our area ~ pastor letter required)

OR

 You must agree to the terms of tuition for St. Therese School


All families are expected to accept financial responsibility for the church and school by honoring the financial admission requirements and the enrollment timetable set forth by the parish finance office. Admission priority is contingent upon the fulfillment of the requirements specified above.



Family Information


Prospective Student's Name*
Gender*
NA if not currently enrolled somewhere
Date of Birth*
Mother/Guardian Name*
Mother/Guardian Address*
Father/Guardian Name*
Is Father/Guardian address the same as Mother/Guardian?*
Father/Guardian Address

More Information

St. Therese Staff Member?
St. Therese Sibling?
St. Therese Parishioner?
Has your child ever been evaluated and/or recommended for special needs?*
a copy of the evaluation may need to be provided
Has your child ever participated in a special needs program?*
Has your child ever been recommended for retention?*
How did you hear about St. Therese School?
Do you have a second child to enter information for? *

Child #2 Information


Prospective Student's Name*
Gender*
Date of Birth*
Has your child ever been evaluated and/or recommended for special needs? *
a copy of the evaluation may need to be provided
Has your child ever been recommended for retention? *
Has your child ever participated in a special needs program? *
Do you have a third child to enter information for? *

Child #3 Information


Prospective Student's Name*
Gender*
Date of Birth*
Has your child ever been evaluated and/or recommended for special needs? *
a copy of the evaluation may need to be provided
Has your child ever been recommended for retention? *
Has your child ever participated in a special needs program? *

Signature Verification

I hereby acknowledge as the legal guardian of said child(ren) in this application, that the information provided, to the best of my knowledge, is true and accurate. I have read the application document in its entirety, understand the meaning and agree to act in accordance with these policies.*
Full name of person completing this application*
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