Parent/Guardian Name * Address * City, State & Zip * Primary Phone * Secondary Phone Email Address * Enter info for second parent/guardian? Enter info for second parent/guardian? Second Parent Guardian Name * Address * City, State & Zip * Primary Phone * Secondary Phone Email Address * Household Info Students Live With * - Select -Father & MotherMother OnlyFather OnlyOther If Other, Please Explain Are Your Students Catholic? * - Select -YesNo Do you have students not attending St. Sebastian School? * - Select -YesNo Student Info Number of Students * - Select -OneTwoThreeFourFive Student Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2005200620072008200920102011201220132014201520162017201820192020202120222023 Grade for Registration * - Select -Early LearningK12345678Not Returning Early Learning Program * - Select -3-year-old half day4-year-old half dayPre-K full day Gender * - Select -MaleFemale Second Student's Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2005200620072008200920102011201220132014201520162017201820192020202120222023 Grade for Registration * - Select -Early LearningK12345678Not Returning Early Learning Program * - Select -3-year-old half day4-year-old half dayPre-K full day Gender * - Select -MaleFemale Third Student's Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2005200620072008200920102011201220132014201520162017201820192020202120222023 Grade for Registration * - Select -Early LearningK12345678Not Returning Early Learning Program * - Select -3-year-old half day4-year-old half dayPre-K full day Gender * - Select -MaleFemale Fourth Student's Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2005200620072008200920102011201220132014201520162017201820192020202120222023 Grade for Registration * - Select -Early LearningK12345678Not Returning Early Learning Program * - Select -3-year-old half day4-year-old half dayPre-K full day Gender * - Select -MaleFemale Fifth Student's Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2005200620072008200920102011201220132014201520162017201820192020202120222023 Grade for Registration * - Select -Early LearningK12345678Not Returning Early Learning Program * - Select -3-year-old half day4-year-old half dayPre-K full day Gender * - Select -MaleFemale Public School Info What public school and system would your child/children attend if they were not attending St. Sebastian Parish School? School System Elementary School Junior High School 2020-21 Tuition Rates Parishioner Rates One Students: $4,150 Two Students: $7,610 Three Students: $10,810 Four Students: $12,030 Five or more: $13,840 Non-Parishioner Rates One Students: $6,180 Two Students: $11,670 Three Students: $16,900 Four Students: $20,150 Five or more: $23,990 *There is a $150 registration fee for all students. Parishoner Tuition Discount Acceptance Agreement For those families requesting the Parishioner Tuition Discount please check below as acceptance of the requirements for being considered an active member of St. Sebastian Parish. At least one parent/guardian must: Be Roman Catholic and registered as a member of St. Sebastian Parish; Regularly attend Sunday and Holy Day liturgies; Continue to demonstrate consistent involvement in the Church/School volunteer activities. Tuition Discount Acceptance * I understand and accept the provisions of this policy, and hereby apply for the Parishoner Tuition Discount offered by St. Sebastian Parish and acknowledge the following criteria for receiving this discount. I accept being charged the Non-Parishoner rate and am not applying for a tuition discount for the 2020-21 school year. HASA Dues Agreement St. Sebastian Parish School’s Home and School Association, is an organization that benefits every child in the school by giving direct support to the education process and teaching staff. HASA provides stipends to our teaching staff each year. That money is used to purchase classroom materials and items that every child uses. HASA also provides busses for at least two field trips per classroom per year. They also provide the agendas for each student. These just name a few of the wonderful things that HASA is able to provide. 100% of all HASA funds go straight back to our teachers and students! HASA asks that each family enrolled in the Parish School pay $50 in HASA dues to help cover the various expenses. Please indicate below, which payment option you would prefer. HASA Agreement * Pay with Registration Fee Pay through SMART Tuition 2020-21 Method of Payment Acceptance Agreement St. Sebastian Parish School uses Smart Tuition for our payment and billing services. Smart Tuition, as an independent processor, employs industry leading standard in data security, privacy, and compliance in the handling of your personal and payment information. Tuition charges, aftercare charges, and other incidental fees will be billed through Smart Tuition and deducted with tuition payments as scheduled. Every family must be signed up for an account within Smart Tuition by May 1, 2020. New families will receive an email to set up their account and returning families will receive an email to confirm the account information they already have set up from Smart Tuition directly. Please respond to this email to verify your information as soon as possible. Families will receive an email each month 10 days prior to their account being drafted. Please note that if using a credit card with Smart Tuition there will be a 2.65% convenience fee added to each transaction. There is no additional fee for using a checking or savings account. Smart Tuition Management Payment in Full: One payment made in full through Smart Tuition or to the school directly. Payment is due between the dates of July 1, 2020 and August 20, 2020. If paying the school directly one check for the total amount must be brought to the school or business office and given to someone directly. If tuition in full is not paid by August 20, 2020 then your student(s) registration reservation will be considered available on a first-come first-served basis. There is no fee for using Smart Tuition with this option. Semester Plan: This option will allow for two payments to be made electronically through Smart Tuition. The first payment will be drafted in July 2020 the second payment in December 2020. The day of the months will be the day selected upon setting up your account with Smart Tuition. There is no fee for using Smart Tuition with this option. Monthly Plan: This option will allow for a monthly payment to be made electronically through Smart Tuition. The payments will be 12 equal installments starting in July 2020 and ending in June of 2020. The day of the months will be the day selected upon setting up your account with Smart Tuition. There is a $50 fee for using this payment option. This fee will be billed to your SMART TUITION account. Please choose the option you are agreeing to: Smart Tuition Payment Method * Payment in Full Semester Plan Monthly Plan Please read and check the following if you agree: * Smart Tuition accounts with past due balances will be assessed a late fee of $55. A $40 fee will apply for any failed electronic transaction or returned checks. I am an active parishioner entitled to the Parishioner Tuition Discount and elect to donate my discount back to the Parish by paying the Non-Parishioner rate. I agree to pay the amount established by my school for the student(s) above. Parent/Guardian Signature * Today's Date * Second Parent/Guardian Signature * NOTE: Your registation is not officially complete until fees have been paid and your Smart Tuition account has been established.