St. Mary Catholic School
2014-2015 Tuition Agreement
Grades 4K – 6
Last Name: ________________________Father: ______________Mother: ____________
1. Parish Financial Stewardship Donation
(3% - 5% of your annual income suggested; $400.00 per person or $800.00 per couple minimum
required)
I/we have made a financial stewardship donation to the parish: _________ Yes ________ No
2. $crip Program: I/we agree to purchase $2,000.00 of $crip per year. I/we understand that the profits
from our $crip purchases will be credited to the school and parish revenue. I/We can elect not to participate in
the School $crip plan and can pay an opt out fee payable to St. Mary Scrip, of $100.00. (See the School $crip
Plan Agreement attached to this sheet.)
3. Tuition: Parish Members, Grades K – 6
$ _________________
1st Child $1500.00, 2nd Child $1475.00, 3rd Child $1450.00.
Non-Parish Members, Grades K – 6
$ _________________
1st Child $2250.00, 2nd Child $2212.50, 3rd Child $2175.00.
Four-year-old kindergarten is $3000.00
$_________________
The tuition fee remains a comprehensive fee, which includes tuition, playground,
winter gym bus and the majority of field trips.
Student Name
________________________________
________________________________
________________________________
Grade 14-15
______________
______________
______________
Tuition
____________
____________
____________
4. Additional Gift: Considering the per pupil cost to attend St. Mary School of over $6,000,
I/we wish to make a tax-deductible donation of $ _________________________.
Payment Plans as follows:
_____Pay tuition prior to June 1, 2014 at the 2013-2014 rate. (1st Child $1400.00, 2nd Child
$1375.00, 3rd Child $1350.00; Non-Parish Members, Grades K – 6 1st Child $2100.00, 2nd Child
$2062.50, 3rd Child $2025.00.) This is for K-6 students only.
_____ One payment to be paid by September 15th at the 2014-2015 rate.
_____ Nine monthly payments to be paid by the 15th of the month September through May.
_____ Nine pre-authorized monthly payments to be withdrawn from my/our financial
institution of my/our choice on a pre-arranged date each month, September through May.
Pre-authorization forms are available in the school office. The pre authorized payments are
to be withdrawn on the _____ 1st or _____ 15th of the month. Contact the office for an
authorization form.
_________________________________
Guardian or Father’s Signature
_______________________________
Mother’s Signature
--------------------------------------------------------------------------------------------------------------------------OFFICE USE ONLY:
Tuition: ____________
Additional Gift: _____________
Payment info: Check #: ___________ Date: ___________
OR
Pre-Authorized Payments: ____________
Effective date of the month: __________