New Family Registration (2019/20) New Family Registration 2019 - 2020 Thank you for completing registration for your student(s)! Any questions, please email email@example.com*Required FieldsYour Email:* How many NEW students do you have to enroll? (You have received an acceptance notification for your new student)* 1 2 3 Please provide the student's name (NEW Students Only)* First Last Please select grade your new student will be entering in 2019/20*Select grade below2s3sPreKKindergarten1st2nd3rd4th5th6th7th8thMedical Information - the following information is required per new student enrolled:List Allergies or N/A:List Medications Administered At Home or N/A:List Medications Administered At School or N/A:Additional Medical Information, if applicable:REQUIRED - Student's Immunization Record* Drop files here or Please attach a clear copy of your student's immuninzation record. Student will be unable to begin school without required immunizations. Required immunizations for Preschool: https://www.doh.wa.gov/Portals/1/Documents/Pubs/348-425-ChildcareImmReqforParents2019-2020.pdf Required immunizations for Kindergarten-12th grade: https://www.doh.wa.gov/Portals/1/Documents/Pubs/348-295-SchoolImmReqforParents2019-2020.pdfPlease provide the 2nd student's name (New students only)* First Last Please select grade your new student will be entering in 2019/20:*Select grade below2s3'sPreKindergartenKindergarten1st2nd3rd4th5th6th7th8thMedical Information - the following information is required per new student enrolled:List Allergies or N/A:List Medications Administered At Home or N/A:List Medications Administered At School or N/A:Additional Medical Information, if applicable:Please provide the 3rd student's name (New students only)* First Last Please select grade your new student will be entering in 2019/20:*Select grade below2s3sPreKKindergarten1st2nd3rd4th5th6th7th8thMedical Information - the following information is required per new student enrolled:List Allergies or N/A:List Medications Administered At Home or N/A:List Medications Administered At School or N/A:Additional Medical Information, if applicable:Emergency Contact InformationIn an EMERGENCY situation when we cannot reach you at home or at work, please list two people (non-parent) who have agreed to take responsibility for your child(ren) and consented to the release of their phone number so we may reach them as an alternative. Also provide one out-of-area contact.1) Name*Phone*Relationship to Student(s):*2) Name*Phone:*Relationship to Student(s):*3) Out-of-area Name:*Phone:*Relationship to Student(s):*Preferred Medical Staff InformationDoctor's Name:*Doctor's Phone:*Preferred Hospital:*Dentist:*Dentist Phone:* If I, and the physician of my choice, as indicated above, cannot be reached in an emergency and, if in the judgment of the school authorities immediate medical and/or hospital attention is indicated, I authorize the school authorities to send above referenced student(s) (properly accompanied) to an available hospital or physician I would like this emergency contact information applied to all my students* Yes No, information is just for above listed student(s) Does your student have a sibling or cousin currently enrolled at the school? Please list here:I Am Enrolling: Preschool Student(s) Only K-8 Student(s) Only Both Preschool & K-8 Student(s) Registration Fees* I understand that my FACTS account will be charged a non-refundable registration fee of $300 per student (K-8) and $200 per student (Preschool) due on Feb. 28th. This registration fee covers costs associated with registration/technology/field trip/classroom parties. Preschool Tuition PlanFOR THOSE FAMILIES WITH PRESCHOOL STUDENTS, PLEASE SELECT A PRESCHOOL TUITION PLANPRESCHOOL Families, please check if applicable:* One child enrolled at Holy Rosary School More than one child will attend Holy Rosary School Preschool Tuition Schedule - One Child Enrolled At Holy Rosary School 2s class (2 days a week) - $3,371 or $281 monthly 3s class (3 days a week) - $4,199 or $350 monthly PreK Class (5 days a week) - $5,612 or $468 monthly Preschool Tuition Schedule - Sibling Attends Holy Rosary (5% Discount): 2s class (2 days a week) - $3,202 or $267 monthly 3s class (3 days a week) - $3,989 or $332 monthly PreK Class (5 days a week) - $5,331 or $444 monthly K-8 Tuition PlanPLEASE SELECT A TUITION OPTION FOR THE 2019/20 SCHOOL YEAR BELOW:For 2019-2020 school year, please select a Tuition Plan:* Non-Parishioner Tuition Parishioner Tuition Non-Parishioner Tuition (Kindergarten - 8th Grade) One child - $9,979 or $832 monthly Two children - $19,958 or $1,663 monthly Three children - $29,937 or $2,495 monthly Four children - $39,916 or $3,326 monthly Holy Rosary Parishioner Tuition (Kindergarten - 8th Grade) One child - $7,741 or $645 monthly Two children - $14,399 or $1,200 monthly Three children - $19,043 or $1,587 monthly Four children - $23,842 or $1,987 monthly Withdrawal or Dismissal: In the event that a student starts school in September but is withdrawn from school prior to the end of the school year, tuition is due and payable from your tuition plan start date through the end of the month in which the student is withdrawn. If a registered student fails to start school in September, tuition payments for the preceding months will be forfeited. A withdrawal will not be considered effective until a completed Intent to Withdraw form (available on the school website) is submitted to the school office.Holy Rosary Parishioner Stewardship ContractYou have selected In-Parish Tuition. Please read and sign off on the following criteria:I.* Be registered with Holy Rosary parish as members. II.* Participate in the life of worship at Holy Rosary by attending Sunday Mass regularly (i.e., most Sundays), keeping holy the Lord’s Day. God gives us so much. But it is important for us to include the worship of Him as a part of our week, doing so in the community in which He gathers us into as the Body of Christ. III.* Participate in the life of discipleship and service at the parish by joining in at least one of the many non-school ministries or groups. While the school is a part of the parish, we ask individuals who are active parishioners to not just be a part of this school sub-community, but truly invested in the whole parish community in some way. To indicate the ways this is happening, individuals must fill out a Time and Talent Commitment card during the annual recommitment. I currently volunteer with, or am interested in the following ministries:* Any church Councils or Committees Altar Society Boy Scouts Bus & Homebound Children's Liturgy of the Word Clothesline Coffee & Donuts Community Meal Confirmation CYO - Athletics (coach, scorekeeper) Faith Formation (Preschool, Elementary, Jr. High) First Reconciliation/Eucharist Flowers & Decorations Funeral Receptions God's Green Earth Habitat for Humanity Infant Baptism International Missions Liturgy & Prayer (Sacristans, Ushers, Greeters, Altar Servers, Lectors) Men's Group Music (Choir, musician) Nursery Rite of Christian Initation for Adults St. Martin de Porres Sandwiches St. Vincent de Paul Service to Youthcare Homeless Teens Shoulder to Shoulder Soup Kitchen SunDance (parent volunteer) Parish Office Assistance Walking with Purpose Women's Shelter Youth Ministry Other If selected 'Other', please specify:*IV.* Support the parish’s mission through financial donations as you are able. It is important that we make a return to the Lord for all the good that He has done for us (Psalm 116). In practical terms, financially supporting the parish supports its works and ministries, including the school. This includes filling out a Stewardship Commitment during the annual recommitment time. The minimum giving expectation is $1,020 per year ($85/month, far below the tuition discount received). V.* Families new to Holy Rosary Parish and School will be considered eligible for the in-parish tuition rate when they have been registered for 6 months and have met the above criteria, or when they have provided the school and parish office a written statement from their previous pastor about their active engagement in worship, service and regular financial support at their previous parish. Families who in the past have been granted In-Parish tuition, though perhaps have not been meeting these expectations of discipleship, are encouraged to start making greater strides to be vested in the parish community as outlined above.FACTS Payment PlanI select the following payment plan:* Monthly (annual fee of $46) Pay-in-Full/One payment (annual fee of $20) Pay-in-Full/Semi-annual payment (annual fee of $20) In addition to tuition, an account balance may include charges for BASE and miscellaneous items. We understand and agree that if tuition or any other payments due to the School are not current, the School may not allow the student to start school or be admitted to any class or activity and may refuse to issue transcripts and reports. The school will charge a $25 fee for insufficient fund events or when an account balance becomes delinquent after the 10th of each month.Please note that FACTS has a processing fee of 2.85% on any balances charged to a credit card.Annual Fund for 2019-2020Both Non-Parishioner and Parishioner Tuition plans do not fully cover the individual cost to educate of our students. Our mission is to make Catholic education available to all by keeping our tuition affordable. Fundraisers, including the ANNUAL FUND, make up the approximate 20% operating budget gap. We need ALL HRS families to participate in the Annual Fund. * The Annual Fund goal, to help bridge the gap, is $200,000. * As the school applies for grants, the percentage of family participation is taken under consideration. Higher participation alerts the granting committee that we have exhausted our internal resources and are looking for external funding. * The Annual Fund is a tax-deductible donation that directly impacts the students at HRS. Commitment is for next school year (2019-2020)* I understand that my Annual Fund donation will be for 2019-2020, NOT this current school year. Annual Fund Ask* Yes, I would like to give to the Annual Fund No, I am not able to give now, but understand I will be contacted at a later date Annual Fund Selection: You can select to make your donation as a one-time payment or MONTHLY:* $5,000 $2,500 $1,000 $720 or $60 per month $250 Other Please consider what your family can give, even a nominal amount, to help us reach 100% participation. Every dollar amount given is appreciated and valued.Annual Fund Options: You can select to make your donation as a one-time payment or MONTHLY:* $5,000 $2,500 $1,000 $480 or $40 per month $250 Other Please consider what your family can give, even a nominal amount, to help us reach 100% participation. Every dollar amount given is appreciated and valued.Method of Payment - All Payments will begin in the 2019-2020 payment schedule* Please charge my FACTS account in a one-time payment Please charge my FACTS account monthly Other One-time Payment Choice: October 2019 March 2020 Thank you! Please describe how your payment will come in to HRS (stock, payroll deduction, check, etc.)Does your company match donation amounts? Most companies will not match money given to churches, but Catholic schools are matched* Yes - please complete paperwork with your Company No Matching Company Name:*Volunteer Hours & Auction CommitmentNEW FAMILY Parent Commitment Hours Contract (Please select one)* We commit to completing a minimum of 35 hours (half fundraising) of volunteer work. We prefer to pay $1,750 in lieu of the 35 hours. We believe we qualify as a single parent family (single parent families will be contacted.) We commit to completing a minimum of 18 hours (9 fundraising) of volunteer work. If our request for single parent status is not approved, we understand we will be required to complete 50 hours of volunteer service hours. We prefer to pay $900 in lieu of the 18 hours (qualifying single parent families). Incomplete Volunteer Hours:* I understand that Holy Rosary will charge my FACTS account for any unfilled volunteer hours at the end of the reporting period at a rate of $50/hour. Are you interested in taking on or if available, shadowing a leadership role for one of our Community Activities? Yes No Which activity would you like to be contacted about? Westfest - occurs in early September, preparations begin late Spring. Oversee a large team of experienced committee leads Auction Procurement - work begins in late Fall for a late Winter or Spring auction. Oversee a team of parents in charge of business item procurement (list already in place) Auction Decorations - work begins in late Fall for late Winter/early Spring auction. Use your creativity to design decorations for the auction, utilizing a team of parents ready to work at your direction. SCRIP Chair - Runs throughout the school year, organize sales of SCRIPs cards and delivery of cards to the Main Office Grandparents Luncheon Chair (Shadow) - Event occurs the last Wednesday of January. Coordinate event and organize volunteers, be on-site for the event Boy Scout Treasurer - Collect payments, process reimbursements Magazine Drive Chair - occurs for 6 weeks, September through October. Organize assembly kick-off, track and distribute weekly prizes Golf Event Chair (Shadow) - occurs in the Spring, coordinates location, set-up, Sign-up genius for volunteers HEART Auction Contract (Please select one)* We will procure or donate an item(s) with value equivalent to, or greater than, $175 to the HEART Auction. We prefer to make a donation of $175 in lieu of an item. Please read:* I understand my FACTS account will be charged a total of $225 ($175 auction commitment and $50 late fee) if my auction item or donation is not entered through the HEART auction web site by the procurement deadline. Talents SectionPlease select if you have any of the following skills you would be willing to share with our school: Advertising/Marketing Athletic Coaching (Interest in) Copywriting Craftsman Skills (woodworking, tiling, etc.) Electrical Engineering (Help coordinate a LEGO robotics group or junior scientist club?) Finance Graphic Design Landscape/Yard skills Legal Nursing Plumbing Procurement Project Managment Roofing Safety/Security Website Design Other If you selected Other, please specify:*Parent/Guardian Name* First Last Occupation:Company Name:Is this parent an alum of Holy Rosary School?* Yes No Began*Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeAttended Holy Rosary through:*1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeName of High School Attended:Graduated high school:*197519761977197919781980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152nd Parent/Guardian Name or n/a* First Last Occupation:Company Name:Employer data collection is for informational purposes only. HRS will use it to help streamline company matching programs and to understand institutional knowledge resources in our community. Employers will never be contacted without your consent.2nd Parent an Alum of Holy Rosary School?* Yes No n/a Began*Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeAttended Holy Rosary through:*1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeGraduated high school:*19751976197719791978198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015Last Question! Excluding you and the 2nd parent listed, do you know friends or family who are alumni of Holy Rosary School?* Yes No Thank you!