* Required

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. 

Student  Information
If yes, please describe the ISP or IEP:​​
Suspensions/Expelled​

Family Information

Parent Information

000-000-0000
000-000-0000​
000-000-0000​
000-000-0000​​

Urgent Contacts (other than parents)

Tuition

Giving of your Time, Talent and Treasure​​

Releases and Parent Agreement

As the parent/guardian, I hereby authorize Saints Francis & Clare of Assisi to photograph, take video footage and/or make electronic sound recordings of my student(s). I authorize the use of any such photographic or electronic reproductions of my student for any purpose, including, but not limited to educational on other public media deemed appropriate by Saints Francis & Clare of Assisi. I understand that my student may be identifiable from such photographic or electronic reproduction. *If you do not agree, you are required to submit a letter to the office along with a current photo by August 16th, 2021.​​​​​​​​​
As the parent/guardian, I hereby authorize Saints Francis & Clare of Assisi to distribute my information in the Saints Francis & Clare of Assisi School Ministry Directory, including name, address, phone and email address​​​​​
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. ​​​​
In submitting this form, I do hereby agree to accept all guidelines set forth by Saints Francis & Clare of Assisi on behalf of my son(s)/daughter(s). I agree to accept the obligation of meeting tuition payments and payments of other regular fees in accordance to school policy for each period of enrollment. This application will not be considered final until confirmation is received and all enrollment fees are paid in full.​​

Enrollment Fee Per Child - due at time of enrollment, $145

Click here to agree to enrollment fee and complete payment to confirm registration.​ Registration not complete until payment is processed. ​​​