Our Lady of Mount Carmel > Enrollment

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Students First Name*	Students Last Name*	Birth Date*	Current Grade Level*
Address*	City*	Zip*	Sex*
Phone*	Religion	Parish you Attend	School Currently Attending*
New Registration only: The fields below are for new registrants only.
Baptism Date	First Communion	Ethnic Background	Language Spoken at Home
Student resides with
Student resides with
Parental or Guardian Information All information below is pertaining to the parent or guardian of the child being enrolled.
Parent/Legal Guardian First Name*	Parent/Legal Guardian Last Name*	Religion	Marital Status
Address*	City	Zip	E-mail Address*
Home Telephone*	Work Phone	Cell Phone
Employer	Employer Address	Occupation
Is there currently any type of protective, custody, restraining orders or restrictive visitation that our School should be aware of? YesNo
If yes, a complete, certified copy of the order must be provided to Our Lady of Mount Carmel School upon registration.
FATHER VINCENT PARENT WORK PROGRAM Students enrolled at Our Lady of Mount Carmel School are eligible to receive tuition assistance through the Father Vincent Parent Work Program. A completed and signed application must be submitted upon registration. The Father Vincent Tuition Assistance Program for the 2010-2011 school year begins JANUARY 27, 2010 and ends DECEMBER 30, 2011. All 2010-2011 volunteer hours must be completed by DECEMBER 30, 2011. Only immediate family members may participate in this program. Every family that participates in the tuition assistance program must earn hours at an approved school function and attend the annual mandatory Advisory Board/Home and School meeting regarding tuition and fees, one ethical-moral conference and one parent information class. Tuition will be reflected on your FACTS account and adjusted accordingly to reflect when volunteer hours completed. This program is an ALL or NONE tuition assistance program. Cleveland Scholarship & Tutoring program recipients are eligible for this program. Students who receive the Cuyahoga Work & Training Voucher are ineligible for this program. FINANCIAL CONTRACT 2010-2011 I agree to pay tuition and fees for my child’s education at Our Lady of Mount Carmel School during the 2010-2011 school year. Fees include but are not limited to technology fee, lunch fees, damaged or missing books, Extended Day, etc. By enrolling at Our Lady of Mount Carmel School I am committed to paying my tuition as stated in the Home and School – Family Handbook beginning in July 2010 and ending in April 2011. Tuition must be paid in full by April 20, 2011. I understand that FACTS Management Company will collect tuition and if applicable, deduct any tuition assistance. I understand that if I wish to pay my tuition in full instead of using FACTS Management Company my payment must be paid directly to the school by August 1, 2010. If payment is not received a $5.00 processing fee will be added monthly to my account until the balance is paid in full. A FACTS tuition agreement form must be completed as part of registration. These forms will be kept on file in the school office and would only be forwarded to FACTS Tuition Management in the event tuition is not received by August 1, 2010. I acknowledge and agree that if at any time I want to withdraw my child from Our Lady of Mount Carmel School, I am still responsible for the tuition for the entire school year. I also understand that I will be responsible for any unpaid fees including but not limited to technology fees, lunch fees, Extended Day, lost or damaged books, etc. Our Lady of Mount Carmel School will retain all school records until such fees are paid in full. I also acknowledge and agree that registration, tuition and any fees are non-refundable. I UNDERSTAND AND AGREE TO ABIDE BY THE ABOVE TERMS.
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