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www.stjohnec.org
APPLICATION FOR REGISTRATION
For Entrance into grade: ___________________ Date of Application: _____________________
Childs Name: _______________________________________ Birth date: __________________ Sex: ______
Family Address: ____________________________________City: __________________ Zip Code: _____________
Home Phone: _____________________________________ Cell phone/Pager: _____________________________
Mothers work phone: ______________________ Fathers work phone: ___________________________
Do you need after school day care? Yes: ( No: ( (for St. John's students only)
If Catholic, date child was baptized: _________________ Church of Baptism: ____________________________
Name of Parish you now attend: ____________________________________________________________________
Childs Fathers Name: _____________________________________ Religion: ______________________________
Childs Mothers Name: _____________________________________ Religion: ______________________________
Please attach your childs last report card, a letter of recommendation from Teacher or Principal and copy of his/her baptismal certificate (if non-catholic), birth certificate or both. These items are very important. We must have them before registration application can be processed. (For comments please use the back of this application)
PLEASE NOTE: Minimum age for entry into Kindergarten is 4 years and 9 months as of September 1, year of entry.
(This is a State and Diocese Regulation).
Name of school your child now attends (or attended last semester): _________________________________________
Address of school: ______________________________________ City: __________________ Zip code: __________
Grade child is now or last semester: ______________ Reason for transfer: ___________________________________
TUITION RATES FOR THE 2010 - 2011 SCHOOL YEAR
1 Child: $ 5,566.00 Yearly
$ 556.60 10 Monthly Installments2 Children: $ 9,040.00 Yearly
$ 904.00 10 Monthly Installments3 Children: $ 11,726.00 Yearly
$ 1,172.60 10 Monthly InstallmentsRegistration Fee for the 2010 2011 school year: $325.00 per child
(Diocesan fees, Insurance, health fees, book rental, educational T.V., PTG Dues, Disaster fee)
Total Registration Fee must be submitted upon admission. REGISTRATION FEES ARE NON-REFUNDABLE
Admission Policy: Once readiness is established priorities will be given as follows: PLEASE INDICATE YOUR PRIORITIES.
Children of ACTIVE* Parishioners: _______________________________
Siblings, provided family has participated in church and school activities:_______________________
Children of alumni: _________________________________
Children of Catholics from other parishes:___________________________________
Children of non-Catholic families:__________________________________________
Referred by: (Family, Faculty, other) ______________________________________
*ACTIVE PARISHIONERS: At least one parent and child is Catholic and registered in the parish. He/she participates in parish life, attends Mass regularly and contributes financially to the Parish for at least one year prior to the year of entry into school. All parishioners are verified through the church office. The contribution should approximate the difference between the low and high rate of tuition.
COMPLETE THIS APPLICATION AND RETURN TO ST. JOHNS SCHOOL WITH PROPER PAPERS. PLEASE ENCLOSE $25.00, WHICH IS NON-REFUNDABLE, FOR PROCESSING AND TESTING FEE. YOU WILL BE INFORMED OF TESTING DATES AND INTERVIEWS.
The Catholic schools in the Diocese of Oakland, mindful of their mission to be witnesses to the love of Christ for all, admits students of any race, color, and national and/or ethnic origin to all the rights, privileges, program and activities generally accorded or made available to students at the schools. The Catholic schools in the Diocese of Oakland do not discriminate on the basis of race, color, national and/or ethnic origin, age, sex, or disability in the administration of educational policies, scholarships and loan programs, and athletic and other school administered programs.
___________________________________________ ____________________________________________
ST. JOHN THE BAPTIST SCHOOL
11156 San Pablo Avenue
El Cerrito, CA 94530-2196
510.234.2244
Fax: 510.234.3726
YOU MUST ATTACH YOUR CHILDS LAST REPORT CARD, A LETTER OF RECOMMENDATION FROM TEACHER OR PRINCIPAL, A COPY OF HIS/HER BAPTISMAL AND/OR BIRTH CERTIFICATE AND IMMUNIZATION RECORDS.
(M/D/Y)
Signature of Father or Guardian
Signature of Mother or Guardian
Application Fee: ________
Ck# /Date: ____________
Interview Date/Time:
______________________
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