2021-2022 Enrollment Form Preschool-8th Grade
NOTICE OF NONDISCRIMINATORY POLICY AS TO STUDENTS
All schools operated by schools and parishes under the guidance of the Roman Catholic Archdiocese of Indianapolis admit students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. The schools do not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.
If yes, please describe the ISP or IEP:
Urgent Contacts (other than parents)
Releases and Parent Agreement
I give Saints Francis & Clare of Assisi, permission to release the following information concerning my child(ren) to the Indiana State Department of Health’s Children and Hoosiers Immunization Registry Program (CHIRP): Name, Date of birth, and Immunization Data. I understand that the information in the registry may be used to verify that my child has received proper immunizations and to inform me or my child of my child’s immunization status or that an immunization is due according to recommended immunization schedules. I understand that my child’s information may be available to the immunization data registry of another state, a healthcare provider or a provider’s designee, a local health department, an elementary or secondary school, a child care center, the office of Medicaid policy and planning or a contractor of the office of Medicaid policy and planning, a licensed child placing agency, and a college or university. I also understand that other entities may be added to this list through amendment to I.C. 16-38-5-3.
Enrollment Fee Per Child - due at time of enrollment, $145