Hudson Catholic Regional High School

Hudson Catholic Regional High School

Tuition and Fees Acknowledgement Form 2016-2017 (Freshman)

Name of Student ______Grade ______

TUITION: $9,200.00

REGISTRATION FEE: $300.00Due: At Time of Registration

GENERAL FEE: $300.00Due: July 30th, 2016

TECHNOLOGY FEE: $250.00Due: July 30th, 2016

FACTS FEE: $45.00Due: July 30th, 2016

*All fees are non-refundable. There are no discounts on fees. Payment of fees is mandatory on or before the listed date due. A $30.00 late fee will be charged for any fee/tuition payment made after the listed date due. Once applied to an account, late fees are irreversible.

TUITION/FEES TOTAL: $10,095.00

As the parent/guardian of the above named student, I acknowledge that I am responsible for the tuition and fees mentioned above (less any academic scholarship or financial aid granted to tuition) for the 2016-2017 School Year. If the total tuition balance (fees included) is not paid in full by May 30th, 2017, I acknowledge that my account will be sent directly to the Transworld Collection Agency.

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Billing Party Printed NameParent Social Security #

______

Billing Party Signature Date

Hudson Catholic Regional High School

Parent/Guardian Billing Acknowledgement Form 2016-2017

Please print all information.

BILLING PARTY INFORMATION:

NAME:______

Last First MI

ADDRESS:

______

Number & Street Apt. #

______

City StateZip

SOCIAL SECURITY #:______

HOME PHONE: ______CELL PHONE:______

PLACE OF WORK:______WORK PHONE:______

EMAIL ADDRESS:______

In signing below I hereby acknowledge and accept the following conditions:

Hudson Catholic Regional High School (hereafter “the School”) is a private school. The School has the right to decide which students will be admitted into its program, in accordance with its stated criteria and consistent with laws prohibiting discrimination. I also acknowledge that the School reserves its right to act in accordance with the teachings of the Roman Catholic Church as interpreted by the Archbishop of Newark.
This acknowledgement applies ONLY to my child’s enrollment for the 2016-2017 Academic Year. If the School offers to continue his/her enrollment beyond this year, and I decide to accept that offer, a renewal acknowledgement form will be signed at that time.
My child’s continued enrollment in the School during the 2016-2017 Academic Year depends on his/her adherence to the rules and regulations annually published in the Parent and Student Handbook and School Calendar distributed to all currently enrolled students in good standing in September.
My child’s continued enrollment at the School during the 2016-2017 Academic Year also depends on the prompt and timely payment of the required tuition and fees by the “Billing Party” indicated above and in accordance with the FACTS Management Systems’ Payment Agreement Form that I have filed with the School. I further acknowledge that the Registration Fee, General Fee, Technology Fee, FACTS fee, as well as my August tuition payment, are NON-REFUNDABLE even if I decide not to have my child attend the School in September 2016.
The School reserves its right to refuse to provide further educational services (including but not limited to: attending classes, taking exams, receiving report cards or other notices of progress, receiving official transcripts of work completed.), if the Billing Party indicated above fails to make prompt and timely payment of the required tuition and fees in accordance with the FACTS Management Systems’ Payment Agreement Form that I have filed with the School. In addition, if monthly a payment is not made by the specified due date, I acknowledge that a $30.00 irreversible late fee will be applied by FACTS Management Systems to my child’s tuition account.
Should I transfer or withdraw my child from the School before the end of the 2016-2017 School Year, all tuition installments prior to the transfer date must be paid in order for the release of transcripts.
If I have two children that are siblings attending the School during the 2016-2017 Academic Year, I am entitled to a $1500.00 Sibling Discount towards the tuition of one child. Should one of the siblings transfer or withdraw from the School prior to the end of the Academic Year, this discount will automatically be forfeited, and I am responsible for any tuition increase this may involve.
This acknowledgement shall be interpreted according to the laws of the State of New Jersey.

______

Parent/Guardian Printed NameParent/Guardian SignatureDate

Hudson Catholic Regional High School

Sibling Discount/Legacy Qualifications 2016-2017

Hudson Catholic High School offers two tuition discounts based on specified criteria. Please review both below listed discounts, and fill out the appropriate information. If neither grant applies to your student, please leave this page blank.

LEGACY DISCOUNT: Any student whose parent is an Alumni of Hudson Catholic High School is eligible to receive a yearly $500.00 award towards his/her tuition account. Should your child fit this criteria, please fill out the below listed information.

Name of Alumnus Parent: ______

Year of Graduation: ______

SIBLING DISCOUNT: Any student who has a younger sibling in attendance at Hudson Catholic High School during the same school year is eligible to receive a sibling discount of $1500.00. This discount will be applied to the eldest child’s tuition account. Please list ALL children who will be attending during the 2016-2017 School Year (if applicable).

*Please note, should one of the siblings withdraw or transfer from Hudson Catholic prior to the academic year’s end, this discount will be forfeited. The billing party will be responsible for any tuition increase this may involve.

Name of Student: ______Grade: ______

Hudson Catholic Regional High School

Student Release of Information Form 2016-2017

Name of Student ______Grade ______

Please initial after each:

I authorize the use of my child’s name and/or photograph in school publications and promotional materials, the school directory, the school newspaper, the school yearbook, news releases, magazines, brochures, website, and Admissions Office view books.

Parent/Guardian Initial _____

I authorize Hudson Catholic Regional High School to send academic records and confidential recommendations to post-secondary schools, college preparatory programs, academic/athletic summer programs, and scholarship organizations.

Parent/Guardian Initial _____

The undersigned releases Hudson Catholic Regional High School and its faculty and staff from any and all liability resulting from or pertaining to the furnishing of recommendations and records.

Parent/Guardian Initial _____

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Parent/Guardian Printed Name

______

Parent/Guardian Signature Date

Hudson Catholic Regional High School

Individual Pupil Request for Loan of Textbooks 2016-2017

Jersey City Public Schools

346 Claremont Avenue

Jersey City, NJ 07305

Under the provisions of Chapter 79, Laws of 1974, I request that my local school district loan textbooks for:

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Name of StudentGrade

______

Parent Signature Date

EVERY STUDENT MUST HAVE THIS FORM ON FILE.

HUDSON CATHOLIC REGIONAL HIGH SCHOOL STUDENT INFORMATION School Year______Grade______

STUDENT:Name:

(Last)(First)(Middle)

Address:______

(Number-Street)(City & State)(Zip Code)(County)

Home Telephone:Parish or Church:

Date of Birth:Birthplace:

(Month/Day/Year)(State)(Country)

Social Security Number:Nationality:

Grade School: ______Sex: M F (Name) (City)

Transfer Students - School Transferring From: ______

(Name) (City)

Are you a Citizen of U.S. - Circle: Yes No

If not, which country are you a citizen of: SEVIS NUMBER ______

(International Students)

Religion: Roman CatholicNon-Catholic ______Specify: ______

Race:White___ Asian___ Multi Racial___ Native Alaskan/American Indian___ Native Hawaiian/ Pacific Islander___

Black____ Are you Hispanic? _____yes _____ no (Hispanic is an “ethnicity” and not a race)

FATHER:Name:Living:Deceased:

Birthplace:Living at Above address: Yes_____ No_____

(Country

Email:______Highest Level of Education Completed______

Occupation:Employer:

Work Address:Telephone:

______Cell Phone: ______

MOTHER:Name:Living:Deceased:

Birthplace:Living at above address: Yes_____ No_____

(Country)

Email:______Highest Level of Education Completed______

Occupation:Employer:

Work Address:Telephone:

______Cell Phone: ______

FAMILY:Total Number of Children in family ______Language(s) spoken in home:

In case of emergency, if parents/guardians are not available, it may be necessary to contact a relative or friend. Please indicate name of person to be contacted under such circumstances.

Name______Relationship______Phone Number______

(Father or Guardian's Signature) Date (Mother or Guardian's Signature) Date