Family Information Sheet - St. Mary School Marion, Ohio

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Family Information Sheet
St. Mary School Marion, Ohio
Primary Parent: (Required)
Last Name:
First Name:
Street Address:
City:
State:
Zip:
Email address:
Phone Numbers: Home:
Work:
Cell Phone:
Cell Carrier:
Receive alerts by (√): Text ______
Email ______
Emergency alerts ONLY _____
Relationship to student(s) (please circle):
Father
Mother
Guardian/Custodian
Parent is a registered member of St. Mary Church?
yes
no
Secondary Parent: (Optional)
Last Name:
First Name:
Street Address:
City:
State:
Zip:
Email address:
Phone Numbers: Home:
Work:
Cell Phone:
Cell Carrier:
Receive alerts by (√): Text ______
Email ______
Emergency alerts ONLY _____
Relationship to student(s) (please circle):
Father
Mother
Guardian/Custodian
Parent is a registered member of St. Mary Church?
yes
no
Send correspondence to this parent if different from primary address?
yes
no
Financial Information:
Are you applying for an EdChoice or EdChoice Expansion Scholarship?
yes
no
Are you applying for FACTS Diocese of Columbus financial assistance?
yes
no
Are you applying for the Father Furey Scholarship?
yes
no
Do you contribute to St. Mary Church using parish envelopes?
yes
no
How will you pay the balance of tuition not covered by scholarship or assistance?
In full before June 30/$50 discount
In full before August 15
monthly with FACTS
****** Please complete student information on the reverse side for each child ******

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