New Student Registration

Children entering a school in the state of Kansas for the first time must have a physical exam. This health assessment and record of current immunizations, signed by a doctor, must be in our office before your child starts school. (Health forms for Kindergarten students will be included in a packet distributed in April.)

ALL New students: A copy of child's birth and baptismal certificates must be sent to the school office with registration.

Transferring Students: Parents of students transferring to St. Ann Catholic School must provide copies of your child's academic & health records.

FAMILY INFORMATION

Are you a new family to St. Ann Catholic School? REQUIRED Please fill out this field.

Parishioner is defined as registered with the Parish Office, attends Mass at St. Ann regularly, has a 2023 Spirit of Giving offertory pledge, monetary contributions via offertory envelopes or EFT/Credit Card and volunteers time and/or talents at school/church.

Parishioner: REQUIRED Please fill out this field.

2023 Spirit of Giving pledge on file in the parish office:

*My/Our commitment for the support of the parish offertory is: Please enter valid data.

Family's Religious Affiliation: REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian Information

Primary Email: REQUIRED Please fill out this field. Please enter an email address.

FATHER'S INFORMATION OR LEGAL GUARDIAN

Relationship to Child:

Parental Status:

Title:

Father/Guardian Last Name: Please enter valid data.

Father/Guardian First Name: Please enter valid data.

Father/Guardian Religious Affiliation: Please enter valid data.

Father/Guardian Email: Please enter an email address.

Father/Guardian Cell: Please enter valid data.

Father/Guardian Employment: Please enter valid data.

Father/Guardian Work Phone: Please enter valid data.

MOTHER'S INFORMATION OR LEGAL GUARDIAN

Relationship to Child:

Parental Status:

Title:

Mother/Guardian Last Name: Please enter valid data.

Mother/Guardian First Name: Please enter valid data.

Mother/Guardian Religious Affiliation: Please enter valid data.

Mother/Guardian Email: Please enter an email address.

Mother/Guardian Cell: Please enter valid data.

Mother/Guardian Employment: Please enter valid data.

Mother/Guardian Work Phone: Please enter valid data.

ADDRESS INFORMATION

Street Address: Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Home Phone: Please enter valid data.

Alternate Street Address: Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Alternate Address Is For:

Child(ren) lives with:

STUDENT INFORMATION

2023-2024 ST. ANN SCHOOL REGISTRATION FEES

Registration fee must be paid with the submission of this form. *
Registration fee is non-refundable.

*To make other payment arrangements, please contact Matthew Baumler via email mbaumler@stannpv.org.

$350 Registration fee per student

$50 Endowment fee per family

TUITION RATES FOR 2023-2024

	Tuition	Cost to Educate	Difference
In-Parish Tuition
1 Child	$4,830	$7,000	$2,170
2 Children	$8,300	$14,000	$5,700
3 Children	$9,950	$21,000	$11,050
4 Children+	$10,700	$28,000	$17,300

Out-of-Parish Tuition
1 Child $9,100

SUPPLEMENTAL TUITION

Supplemental tuition helps bridge-the-gap between the cost of education and the in-parish tuition rate. For one child, the actual cost of education is $7,000 or $2,170 above the in-parish rate.

Thank you for considering a supplemental tuition contribution to help support a high level of investment in the school while keeping the tuition rate affordable. All supplemental tuition contributions are tax deductible to the fullest extent of the tax law.

I/We would like to donate above the tuition rate in the following amount: $250.00 $500.00 $1,000.00 $2,170.00 - Fully Funds 1 Child $5,700.00 - Fully Funds 2 Children $11,050.00 - Fully Funds 3 Children

I/We would like to donate above the tuition rate. Please enter valid data.

An acknowledgement of your pledge and payment options will be provided to you in the coming weeks. No payment is necessary at this time. Every dollar paid above the required tuition is tax deductible to the fullest extent of the current tax code and is a tremendous blessing to our school.

TECHNOLOGY LIABILITY AGREEMENT

St. Ann Catholic School carries repair/replacement insurance on all student Chromebooks & iPads; the deductible is $100.

I agree to pay the $100 deductible fee should the school determine that my child is responsible for damage to one of its Chromebooks or iPads.

No student will be allowed to use a Chromebook or iPad in school without this signed document on file.

I Agree Please select this field.

MEDIA RELEASE

Without compensation, I hereby grant permission to St. Ann Catholic School to use and reproduce photographs taken of my child(ren). These photographs may be used for news and editorial purposes in publications, electronic reproductions (social media), and/or brochures. In addition, I grant my permission to alter the same photos without restriction and to copyright the same. I hereby release the photographer, the journalists, and the publications or media outlets they represent, as well as St. Ann Catholic School from all claims and liability relating to said photographs.

I Agree {Media Release} REQUIRED Please fill out this field.

HANDBOOK & DISCIPLINE AGREEMENT

Your acknowledgement states that you accept and support the policies and procedures, in addition to the discipline policy, stated within the handbook. The administration reserves the right to interpret and apply the policies and procedures in the handbook and discipline policy. St. Ann Catholic School reserves the right to amend the handbook and the discipline policy. Notice of any amendments will be sent to families through email, written communication, or Enews.

Handbook

I Agree Please select this field.

REGISTRATION AGREEMENT

By enrolling my child(ren) in St. Ann Catholic School, I agree to do the following:

Volunteer time and/or talents to the school/parish as capable.
Interact with school faculty, staff, students, other parents and clergy in a Christian manner in all forms of communications.

I Agree Please select this field.

REGISTRATION PAYMENT

Pay for your registration fee below by credit/debit card or check. Registration forms will not be processed without payment.*

*To make other payment arrangements, please contact Matthew Baumler via email mbaumler@stannpv.org.

2023 - 2024 Registration Fee: REQUIRED 400.0 – One Child 750.0 – Two Children 1100.0 – Three Children 1450.0 – Four Children Please fill out this field.

New Student Registration

New Student Enrollment

Welcome to St. Ann Catholic School. Please fill out the form below to complete the registration process for the upcoming 2023-2024 academic year.

FAMILY INFORMATION

FATHER'S INFORMATION OR LEGAL GUARDIAN

MOTHER'S INFORMATION OR LEGAL GUARDIAN

ADDRESS INFORMATION

STUDENT INFORMATION

2023-2024 ST. ANN SCHOOL REGISTRATION FEES

TUITION RATES FOR 2023-2024

SUPPLEMENTAL TUITION

TECHNOLOGY LIABILITY AGREEMENT

MEDIA RELEASE

HANDBOOK & DISCIPLINE AGREEMENT

REGISTRATION AGREEMENT

REGISTRATION PAYMENT