Application Form For Assessment Page 3

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I am applying to register my child in St. Thomas More Catholic School for the 2016-17
academic year. I am subject to the following terms and conditions:
• A student registration fee of $200.00 per child MUST accompany this application. After
your child has been accepted, you will be required to send in one month’s tuition payment in
order to secure a space.
• Your first monthly FACTS tuition payment will be deducted from your account in June. You
will be sent information on the FACTS Management Automatic Tuition Payment Program
upon acceptance.
• Refund Policy as stated in the Parent and Student Handbook;
1. If tuition has been pre-paid for either semester or the full year, and if the student
withdraws from St. Thomas More, pre-paid tuition minus the current month will be
refunded. If the withdrawal is before the start of the school year, any tuition greater
than two months will be refunded.
2. If tuition is being paid via FACTS on a monthly basis, there will be no refund. If a
transfer out of the area is required before the start of the school year, any tuition
greater than two monthly payments will be refunded.
th
Students entering K- 8
grades will be required to participate in an assessment. This
assessment provides us with current performance and learning style information so that we
can provide the best possible instruction for your student(s). It is the goal of St. Thomas
More Catholic School to insure an equal education to all students through differentiating
our instruction based on student needs.
In the event that a learning style difference has been identified through a psycho-
educational evaluation by a licensed psychologist, the school will make reasonable
accommodations for this student. If applicable, this student will be assisted with
appropriate instructional methods. If a student cannot be accommodated by our school
every effort will be made to help with placement in another school.
USE OF IMAGES CONSENT
There will be occasions when images of your child will be used on the school website and/or outside
publications (i.e. brochures, flyers, advertisements, etc.) Please check the appropriate line below.
__________ Yes, you may use an image of my child on the school website and/or outside publications.
__________ No, I do not wish for my child's image to be used on the school website and/or outside
publications.
____________________________
__________________________
Signature of Parent or Guardian
Date
In cases of divorce, please provide copies of the court decision regarding custody of children.

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