FIVE HOLY MARTYRS SCHOOL - St. Michael the Archangel

Last week to Re-enroll
at the discounted rate!
2015-2016 REGISTRATION FORM
Families who register before February 27, 2015 will receive a discount rate of $75 per student.
Families will also lock in 2014/15 tuition rates for the 2015/16 school year!
Tuition 2014/15
1 student $4,500*
2 students $6,500*
3 students $7,500*
Tuition 2015/16
1 student $4,600*
2 students $6,700*
3 students $7,800*
THE FOLLOWING INFORMATION IS TO BE COMPLETED IN FULL.
CHILD’S LAST NAME ____________________________ FIRST___________________________ GR Entering _____________
CHILD’S LAST NAME ____________________________ FIRST___________________________ GR Entering _____________
CHILD’S LAST NAME ____________________________ FIRST___________________________ GR Entering _____________
MOTHER
FATHER
FIRST & LAST NAME_______________________________
FIRST & LAST NAME ______________________________
CELL PHONE NUMBER _____________________________
CELL PHONE NUMBER_____________________________
Tuition for the 2015-2016 School Year: Grades K-8
Tuition plan for 2015-2016 academic school year. Please choose option A or B.
_____Plan A: 10 month plan. Payments will run from 08/15/15 – 05/15/16.
_____Plan B: 11 month plan. Payments will run from 08/15/15 – 06/15/16.
# of students _________ X $75.00 = ___________ (NON-REFUNDABLE)
Payment method:
Credit Card: _________________________________ EXP ____________________
Check #______________
Cash
Signature: __________________________________________ Date: ______________________
*Please note, families will need to reapply for financial aid for the 2015-2016 school year. Sibling discount
only applies to students Kindergarten through 8th grade. PK Rate is $4,600 per student.
Academic Excellence in the Catholic Tradition
8231 S. South Shore Drive
Chicago, Illinois 60617
Phone: (773) 221-0212 Fax: (773) 221-2310
http://www.stmichaelsouthshore.org