2021-2022 Registration Form

The state of Kansas requires a child to be five years old on or before August 31 to enter kindergarten. First graders must be six on or before August 31.

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 2021 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.

2021 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

2021-2022 ST. ANN SCHOOL REGISTRATION FEES

Registration fees must be paid with the submission of this form.*
Registration fees are non-refundable.**

*To make other payment arrangements, please contact Bill Schafer via email, bschafer@stannpv.org

$335 Registration fee per student**

$50 Endowment fee per family

One child $335 registration fee plus $50 per family Endowment fee = $385
Two children $670 plus $50 per family Endowment fee = $720
Three children $1,005 registration fee plus $50 per family Endowment fee = $1,055
Four or more children $1,340 registration fee plus $50 per family Endowment fee = $ 1,390

**Current 2020-2021 St. Ann Catholic School Families who register after February 26, 2021 will incur a $100.00 late fee.

TUITION RATES FOR 2021-2022

	Tuition	Cost to Educate	Difference
Parishioner Tuition Rate
1 Child	$4,350	$6,164	$1,814
2 Children	$7,450	$12,328	$4,878
3 Children	$8,960	$18,492	$9,532
4 Children+	$9,650	$24,656	$15,006

Non-Parishioner Tuition
1 Child $8,200

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 $6,164 or $1,814 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 $1,814.00 - Supports 1 Child $4,878.00 - Supports 2 Children $9,532.00 - Supports 3 Children $15,006.00 - Supports 4 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.

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 fees below by credit/debit card or check. Registration forms will not be processed without payment.*

*To make other payment arrangements, please contact Bill Schafer via email, bschafer@stannpv.org

Partial payment option: In recognition of the significant outlay of money for registration fees, especially for larger families, we are providing families the option to either pay the entire registration fee upfront or pay a partial payment amount with the registration fee balance due by March 31, 2021.

Late fees have been applied as of March 1, 2021.

2021-2022 Registration Fees - Select Number of Children to Register: REQUIRED 485.0 – One Child - Full Payment 100.0 – One Child - Partial Payment - $385 balance due 3/31/2021 820.0 – Two Children - Full Payment 200.0 – Two Children - Partial Payment - $620 balance due 3/31/2021 1155.0 – Three Children - Full Payment 300.0 – Three Children - Partial Payment - $855 balance due 3/31/2021 1490.0 – Four or more Children - Full Payment 400.0 – Four or more Children - Partial Payment - $1090 balance due 3/31/2021 Please fill out this field.