St. Peter of Alcantara School SCRIP Program

Enrollment and Disclaimer Form 2013-2014

Please read and sign the enrollment from and return it with your first order.

Program Rules and Guidelines:

  1. All orders must be accompanied by a check payable to St. Peter’s School. Please do not send cash or post-dated checks. SCRIP certificates are not tax deductible because you receive dollar for dollar value.
  2. If your check is returned for insufficient funds, you will be charged a $20.00 fee payable to St. Peter’s School.
  3. Grocery orders are due by 9 AM Monday or the first day of the school week.
  4. Grocery SCRIP will be sent home on Thursday or Friday in the SCRIP TRANSPORT ENVELOPE or picked up at school in the office between 2:00 and 2:45 PM (if indicated).
  5. Specialty SCRIP will be available to order approximately 3 times during the school year. The order form will indicate when the distribution dates will be.
  6. When you pick up your SCRIP certificates, open your order and verify its contents for accuracy. If a discrepancy occurs, please contact the SCRIP office immediately.
  7. SCRIP certificates are purchased on your behalf and are not returnable.
  8. SCRIP certificates are the same as cash and should be handled accordingly. St. Peter’s School will not be responsible for certificates that are lost, stolen, or misplaced while in your possession.
  9. Contact one of our SCRIP coordinators with any questions. Maura Vernice 883-3930 or Mary Byrnes 767-0684.

Disclaimer:

I authorize St. Peter of Alcantara School to release my SCRIP certificates to my child. I will not hold St. Peter of Alcantara School, St. Peter of Alcantara Parish or the volunteers and coordinators responsible for any lost or misplaced certificates occurring during the transportation of said certificates from the school to my home or work place. Further, I entrust the responsibility of the certificates with the named student and no other. If by chance this student is relieved of this task and another student be assigned, I will notify the SCRIP coordinators in writing of these changes immediately.

Keep Top of Form

I have read and understand the disclaimer and guidelines listed above, and I agree to abide by these policies.

ENROLLMENT FORM

FAMILY NAME ______

ADDRESS ______

CITY______ZIP ______

PHONE ______

PLEASE SEND MY SCRIP HOME WITH ______

Child’s Name and Grade/Section

OR

PLEASE HOLD MY SCRIP IN THE MAIN OFFICE FOR ME TO PICK UP BY 2:45 pm ON FRIDAY______

Parent/Guardian SignatureDate