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6914 Chestnut Ridge Road, Lockport, NY 14094 | Directions

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Student Re-Registration Form 2019-2020

The re-registration fee is $100 per student.

Please note that new siblings will need to be registered through the main office as additional paperwork is required. Please call (716) 433-6422 or email the school secretary, Mrs. Surdel - to request a sibling registration packet.

For monthly tutition billing please fill out this form and submit it to the main office. - Monthly Tuition Billing PDF

Please complete the re-registration form below and make an online payment. There will be a $5 processing fee.

Student Re-Registration Form

Parent(s) or Guardian(s) of Students

Mother/Guardian - First Name

Mother/Guardian - Last Name

Mother/Guardian - Street Address

Mother/Guardian - City

Mother/Guardian - Zip Code

Father/Guardian - First Name

Father/Guardian - Last Name

Father/Guardian - Street Address

Father/Guardian - City

Father Guardian - Zip Code

With whom does the child(ren) primary live with? *

Family Email Address:

Mother's Occupation

Mother's Place of Employment

Mother's Work Phone #

Mother's Cell Phone #

Mother's Home Phone #

Father's Occupation

Father's Place of Employment

Father's Work Phone #

Father's Cell Phone #

Father's Home Phone #

Student(s) Information: Please list all students and their grade level in 2019-2020.

Number of Students Registering *

Student 1 - First Name

Student 1 - Last Name

Student 1 - Grade *

Student 1 - Ethnicity *

Student 2 - First Name

Student 2 - Last Name

Student 2 - Grade

Studen 2 - Ethnicity

Student 3 - First Name

Student 3 - Last Name

Student 3 - Grade

Student 3 - Ethnicity

Student 4 - First Name

Student 4 - Last Name

Student 4 - Grade

Student 4 - Ethnicity

Student 5 - First Name

Student 5 - Last Name

Student 5 - Grade

Student 5 - Ethnicity

For Students in Preschool, please indicate preference.

Preschool Preference

Catholic Parish Affiliation/Parish Assistance

Parish Member of

Catholic Parish Affiliation *

Catholic Parish Assistance Guidelines PDF | Catholic Parish Assistance Application PDF

Photo Release Permission

Throughout the school year there will be numerous occasions when DeSales will be contacting local media outlets to promote school events. DeSales staff will also take student's pictures during the year for use on our website or other social media and marketing outlets. Unless you check below we will understand that you have given DeSales permission to use your student's photo.

Photo Release Permission *

I give permissionI do not give permission

Billing Information

DeSales Catholic School Tuition Payment Policy:

Payment of tuition is the responsibility of students' parents or legal guardians.
Tuition is payable in twelve monthly payments, July 10th – June 10th for the concurrent school year of September - June. Direct bank withdrawal is required for tuition payment.
If payment is not received by the 30th of the month, a late charge of $35 will be added to each month when payment is in arrears and a statement with these additional charges will be mailed.
A fee of $35 will be charged for any payments returned by the bank.
If tuition and fees are in arrears for over 60 days, payment arrangements need to be made with the Business Manager. It is the parent’s responsibility to initiate this request in due time without reminder or notification from the school. Report cards and or education documents will be delayed until tuition is paid in full or arrangements for payment are made.
If tuition and fees are in arrears in excess of 90 days and an acceptable alternative arrangement has not been approved by the Business Office, then students will be withdrawn from the school until all delinquent obligations are paid in full.
The school has the right to legal action for non-payment of tuition and fees. Legal fees and collection costs will be the responsibility of the parents or legal guardian.
No student may start school in September unless all tuition and fees owed from the previous school year have been paid. This policy is automatic and is applied without special reminder or notification.
Financial Assistance: Financial Assistance applications are available upon request from the school office, the Business office, and at our school website. Applications for financial assistance are due by April 15th, but may be accepted after the deadline if funds are still available.

Monthly Payment Authorization Form PDF

Tuition Billing Information

Please complete if the person responsible for tuition is different than the parents/guardians.

Name

Relationship to Student(s)

Street Address

City

State

Zip Code

Payment Option *

Banking Information

Banking Information *

Contact Information

Date

Signatures of Parents or Guardians Financially Responsible for the Student:

We understand that by signing this agreement for the coming academic year, we agree to accept the Tuition Policy detailed above. This agreement shall be interpreted in accordance with the laws of the State of New York.

Agree *

YesNo

Total Amount: $

Enter the code shown above:

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