FreshmanChecklist2016‐2017

All forms can be found online at http://www.paracletehs.org Please download, complete and print each. Bring all completed forms with you on registration day. Registration is complete once the fees have been paid and the FACTS account has been activated. 

Complete and bring this form and all additional forms when you come to register. ____________________________________________________________________

Student Information Registration Form

Tuition & Financial Policy Agreement- Include registration fee $475 & earthquake fee $15

Consent to Treat and Emergency Contact Information

Bring Blue Immunization Record filled out and immunization card for verification

Parent Participation – Volunteer (one per family)

Catholic Verification form

Yearbook order form

Summer School form (if applicable)

FRESHMEN - SUMMER SESSION REGISTRATION FORM 2016

Students are expected to be well mannered, polite and respectful to each other and to faculty at all times. Students choosing to behave otherwise will be asked to withdraw.

(Rev 2/22/2016)

Please return this form and payment at your scheduled registration appointment.

Student’s Name: __________________________________________________________________________________________ Last First

Address: _________________________________________________________ Home Phone: ___________________________ Mother’s name: ___________________________________________________ Daytime #: _______________________________ Father’s name: ____________________________________________________ Daytime #: ________________________________ In an emergency please contact the following person: Emergency contact person: __________________________________________ Phone #: _______________________________ Last First

Please check the class(es) you are taking: FOUR WEEK COURSES (MAY BE SUGGESTED OR REQUIRED – OPEN TO ALL) English/Study Skills June 20 thru July 14 Monday thru Thursday 8:00 a.m. to 10:30 a.m. Cost: $170 Math Concepts & Skills June 20 thru July 14 Monday thru Thursday 10:45 a.m. to 1:15 p.m. Cost: $170

Official use only Cash Receipt #____________________________ Amount Paid _____________ Check #__________________________________ Financial office signature: ______________________________

Keep the bottom portion for your records.

FOUR WEEK COURSES Open to all freshmen. Some students may be required or recommended to take these courses. English/Study Skills June 20 thru July 14 - Monday thru Thursday 8:00 a.m. to 10:30 a.m. Cost: $170 (includes $20 material/book fee) Math Concepts & Skills June 20 thru July 14 - Monday thru Thursday 10:45 a.m. to 1:15 p.m. Cost: $170 (includes $20 material/book fee) (This class is suggested for students who will be placed in beginning Algebra and may need additional assistance based on the testing results.) Classes will meet 4 times a week, Monday through Thursday. NO SCHOOL on Fridays. ATTENDANCE: A student who is absent more than three times will not have met the minimum course requirements and will not be eligible to receive credit for course. Three (3) tardies are equivalent to one (1) absence. DRESS CODE: The regular Paraclete uniform dress code will be followed for Summer School. Uniform shirts will be available for purchase the first day of Summer School at the “SPIRIT STORE”.

Student Information

School Year 2016-2017

STUDENT NAME: ________ ____________________________________________________________________________________

ID Last Middle First

Entering Grade Level: Date of Birth: __________ Birthplace: _________________City State

Mailing Address: ______________________________________________________________________________________________

Street # Street Name Apt

______________________________________________________________________________________________

City State Zip Code

Student Lives With: Mother & Father Mother Only Father Only

Mother & Step Father Father & Stepmother Legal Guardian

Joint Custody Grandparents Aunt & Uncle

PARENT/GUARDIAN 1: ____________________________________________ __________________________________________________

Last First

Relation to Student: Mother Father Other

(please check one) Step Parent Grandparents

Mailing Address: ______________________________________________________________________________________________

Street # Street Name Apt

______________________________________________________________________________________________

City State Zip Code

EMAIL address for this contact _______________________________________________________

Phone #'s: ______________________________________________________________________________________________

Home# Cell# Work#

Employer: _____________________________________________ Position: ________________________________________

Highest level of Education Completed: High School Some College College Graduate

PARENT/GUARDIAN 2: ____________________________________________ __________________________________________________

Last First

Mailing Address (If different than students)

Relation to Student: Mother Father Other Contact Should

(please check one) Step Parent Grandparents Receive Mailings

from Paraclete

Mailing Address: ______________________________________________________________________________________________

Street # Street Name Apt

______________________________________________________________________________________________

City State Zip Code

EMAIL address for this contact __________________________________________________

Phone #'s: ______________________________________________________________________________________________

Home# Cell# Work#

Employer: _____________________________________________ Position: ________________________________________

Highest level of Education Completed: High School Some College College Graduate

Students Ethnic Background (please check one):

Amer. Indian or Alaskan Native Two or more Ethnicities White Other (please Specify):_________________

African American/Black Hispanic/Latino Asian Pacific Islander/Filipino

Religion (please check one):

Catholic Christian Jewish Non-Christian

No Religion Other (please specify

PARACLETE HIGH SCHOOL

TUITION INFORMATION SHEET

ACADEMIC YEAR 2016-2017

Student ID _________ Student Name _________________________ REGISTRATION Fee *NON REFUNDABLE $475.00 (please see note on page 2) TUITION: Tuition is set as affordable as possible to provide a full Catholic college preparatory education. We have three tuition pricing options:

Pricing Option 1 is the subsidized Catholic rate; Pricing Option 2 is the subsidized Non-Catholic rate;

Bingo and fundraisers subsidize our tuition. Some families are able and willing to pay the full unsubsidized actual cost of tuition in

order to help others; therefore, pricing Option 3 is the unsubsidized rate (the actual cost of educating each child at Paraclete).

TUITION PAYMENT OPTIONS:

Plan 1

Catholic

Subsidized

Plan 2

Non-Catholic

Subsidized

Plan 3

Unsubsidized

(actual cost)

Paid in full $7,415.00 $7,975.00 $8,940.00

12 month $617.92 $664.58 $745.00

11 month $674.09 $725.00 $812.73

10 month $741.50 $797.50 $894.00

*There is a 12% discount available for each additional child in the family, contact the finance office for details.

Textbooks: as needed. With the one to one iPad program and the fluctuation in iBook and eBook prices, book prices are not set at this time but are expected to continue to decrease from previous years.

iPad: Freshman and transfer students will pay a $100 technology fee when picking up iPad in July.

Parent Participation: 30 hours OR $300 Each parent is asked to work 30 parent service hours for the school (15 hours per semester), of which at least 8 hours is required to be at bingo. Parents may “opt out” of doing the service by making a donation of $10 for each hour not completed.

Mandatory Fundraisers: Parents- Raffle Raffle tickets Buy or sell $100 per family Las Vegas Night 2 tickets per family $15.00 ea/$30 per family

Other/Optional: Sports fee of $100 per sport Yearbook fee of $85 per book

-Over-

PARACLETE HIGH SCHOOL

ACADEMIC YEAR 2016-2017

TUITION & FINANCIAL POLICY AGREEMENT

Please read carefully before signing at the bottom

A. PAYMENT METHOD Paraclete High School uses FACTS Tuition Management and Payment Processing Service. ALL

families are required to sign up with this service. Through this service, you will have the option of payment from a checking

account, credit card or other bank account. Payment will be automatically deducted on the 5th or 20th (you decide).

B. TUITION/FEES Tuition is due on the 5th or the 20th of the month. If funds are not available by the date chosen, your account

is considered delinquent. A late fee of $20 will be assessed to your FACTS account each month. If the account is not brought

current, student(s) will be sent home (refer to Finances in Parent/Student Handbook). Any returned checks will carry a fee of

$35.

C. PARENT SERVICE HOURS I agree to perform 30 hours of service for the school of which at least 8 will be participating in

Bingo or pay $300. *Any hours not completed by June 1st (May 1st for Seniors) will be added to family FACTS account. Contact

Katie in the finance office if you would just like to pay the parent service hours on FACTS

D. TWO MANDATORY PARENT FUNDRAISERS: Are added to the FACTS account unless parents choose to pay with

registration. 1. Raffle: per family is required to buy or sell $100.00 of raffle tickets.

2. Las Vegas Night: per family is required to purchase two tickets to this event. Cost is $15.00 per ticket.

E. ONE RECOMMENDED FUNDRAISER:

1. Raffle tickets: Each family will be sent two additional books of raffle tickets for the Raffle.

Parents are encouraged to sell these tickets to assist in fundraising efforts. All school fundraisers offset tuition costs.

F. AUTOMATIC REREGISTRATION: Beginning with the 15-16 school year, the school instituted an automatic registration

renewal schedule. This allows parents to pay the annual registration fee over 5 installments. This IS part of your financial

agreement, applies to every student and will be added to you FACTS payment beginning in February 2017. For your

convenience, a reminder will be sent in January of 2017.

We will pay Paraclete High School in accordance with this agreement. If we do not pay as agreed, we recognize that Paraclete High

School has the right to send our student(s) home until such time as tuition is paid and current, or until specific arrangements are made

and agreed upon by both ourselves and Paraclete High School. We understand that this agreement is binding.

Upon enrolling a student at Paraclete, each parent/guardian and student acknowledges the agreement to be governed by the handbook and recognizes the right and responsibility of the school to make rules and to enforce them. Each parent/guardian and student assumes responsibility for being informed of Paraclete’s policies, rules, and regulations contained in the handbook and in subsequent newsletters throughout the year.

________________________________________________________________________________

Print Name of Person responsible for payment

__________________________________________________________________________________________

Parent/Guardian’s Signature – Person(s) responsible for payment Date

__________________________________________________________________________________________

ID# Student’s Signature Date

RETURN THIS AGREEMENT WITH ALL THE OTHER REGISTRATION FORMS.

Please do not forget the required signatures – Parent & Student.

Paraclete High School

CONSENT TO TREAT AND EMERGENCY CONTACT INFORMATION

2016-2017 School Year

This form will be kept on file in the main office.

________________________________________________ ____________________________________ Student’s Last Name Student’s First Name

____________________ ______________ _______________ Student’s Date of Birth Year of Graduation

____________________________________________ ___________________________________ Family Last Name (if different from student) Student’s Home Phone

AUTHORIZATION TO CONSENT TO TREAT OF MINOR

We/I, the undersigned, parent(s) of _________________________________________, a minor,

do hereby authorize the designated school official or nearest relative/friend. __________________________________________________________________________________________ Name City Phone __________________________________________________________________________________________ Name City Phone __________________________________________________________________________________________ Name City Phone

as agents for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the Medicine Practice Act, whether such diagnosis or treatment is rendered at the office of said physician or at a hospital.

It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis treatment or hospital care which the aforementioned physician in the exercise of his best judgment may deem advisable; and neither said agent or any organization involved assumes any financial responsibility for exercising this action.

This authorization is given pursuant to the provisions of Section 25.8 of the Civil Code of California. This authorization shall remain effective until revoked in writing.

Special Medical Needs: _____________________________________________________________________

Allergies: _________________________________________________________________________________

Doctor’s Name: ___________________________________ Doctor’s Phone: ___________________________

Name of Family Insurance: _____________________________________________________________________

Insurance phone # with Area Code _______________________ Policy/Group #: _______________________

Mother’s Signature ______________________________________ Cell Phone _______________________

Print Signature ________________________________________

Father’s Signature __________________________________ Cell Phone _______________________

Print Signature ______________________________________________

Guardian’s Signature____________________________________ Cell Phone _______________________

Print Signature _____________________________________________________

Students may not participate in any school activity unless this form is on file.

Paraclete High School VOLUNTEER OPPORTUNITIES Year 2016-2017

_________________________________ _________________________________________ Mother (first and last) Father (first and last) _________________________________ _________________________________________ Home Phone Cell Phone _________________________________ _________________________________________ Mother’s Email Father’s Email ____________________________________________________________

ID Student Name Grade ________________________________________________ ID Student Name Grade SUPPORT OF THE ARTS ADVANCEMENT _____Fine Arts _____Mailings (done from home) _____Drama Production _____Typing/Word Processing _____Phone calls CLASSROOM SUPPORT GENERAL SUPPORT _____ Substitute Teacher (degree required) _____Athletics _____ Career Day _____Library _____Cletehouse Cafe FUNDRAISING & SPECIAL EVENTS _____ Bingo _____ Las Vegas Night _____ Grandparent’s Day _____ Spring Tea _____ 8th Grade Scholars Dinner _____ Raffle Do You Have? _______ Access to a truck or a van _______ Fundraising Experience _______ Ability to acquire donations SPECIAL WAYS YOU CAN HELP? List any other ways you wish to help Paraclete High School:

Please add $300 to my FACTS account. I do not wish to work the 30 hours.

1. If you sign up for an activity and must cancel, please inform the chairperson of that activity. 2. It is absolutely necessary to have a Parent Coupon signed by the chairperson in charge of the activity. IT IS YOUR RESPONSIBILITY TO RETURN THE COUPON TO THE OFFICE FOR CREDIT!! 3. Should there be a question about hours worked, please consult the Finance Office. Parents that are working an activity where there are tickets being sold to the function are expected to purchase the tickets. 4. It is the responsibility of the parents to make sure that their hours are completed. The difference in hours not worked will be added to your May tuition as stated in the Parent Agreement Form. 5. Any senior parent whose FACTS account has late payments throughout the year will need to pay the balance of tuition prior to final exams. NO EXCEPTIONS!

Paraclete High School

CATHOLIC VERIFICATION 2016-2017

Directions: 1. Fill out ONE FORM PER FAMILY. Please fill in Parish name, address, and phone also. 2. Take the completed form to your parish by April 29th, 2016. 3. The Parish Discount rate will apply to ALL your students at Paraclete High School that you have listed on the front of

this card who are currently enrolled or in the case of incoming freshmen, have already been accepted at Paraclete. 4. This form is required for each incoming student wanting a Catholic discount.

2016-17 CATHOLIC FAMILY TUITION DISCOUNT VERIFICATION

__________________________________ _______ Name of Student Grad. Yr. This card is to verify that one or both parents of this family are registered in your Parish. _____________________________________________ ________ PASTOR or SECRETARY: Please Sign & use Parish Seal. Name of Student Grad. Yr. _____________________________________________ ________ _____________________________________________________ Name of Student Grad. Yr. Name of Parish

_____________________________________________________ _____________________________________________ Parish Address Father’s Last Name, First Name _____________________________________________ Parish Phone # ________________________________________ Mother’s Last Name, First Name _____________________________________________

Home Street Address

_________________________________________ __________________________________ Signature of Pastor or Pastor’s Secretary City/Zip Home Phone # _______________________________ PARISH SEAL HERE

YearbookHow are you going to buy your

2017 Yearbook?cost: $85

Please include my yearbook payments to my Paraclete FACTS account

I am including a payment of $85 for my student’s yearbook

I will not be purchasing a 2017 Yearbook.

This form is required to be returned with the registration packet

Student Name (print):

Parent Signature:

options

FRESHMAN - SUMMER SESSION INFORMATION 2016

SUMMER SCHOOL IS OPEN TO ALL STUDENTS INTERESTED IN IMPROVING THEIR SKILLS OR

ACCELERATING THEIR PROGRESS

Paraclete High School provides college-preparatory classes for its students. The summer session is designed to increase the incoming 9th grader’s understanding and familiarity with the academic atmosphere of Paraclete, to provide remediation in basic skills, or to accelerate their progress.

OPEN, SUGGESTED or REQUIRED COURSES AVAILABLE TO INCOMING FRESHMEN

(4-week courses beginning June 20 and ending July 14) A REQUIRED course is for students whose entrance test scores and grades require additional preparatory work. Regular attendance and satisfactory completion of Summer School are terms of final acceptance at Paraclete in August 2016. A student who fails the coursework will not have met Paraclete’s minimum entrance requirements and will not be eligible for enrollment for the 2015-2016 School Year. A SUGGESTED course is for students whose entrance test scores and grades require additional preparatory work. This is a strong recommendation that the class(s) marked on your acceptance letter should be taken to improve the student’s chances for success at Paraclete. English/Study Skills $170 (includes $20 material/book fee) Dates: June 20 to July 14 Time: 8:00 – 10:30 A 4-week course designed to improve the student’s study habits, performance and organizational skills with an emphasis on Language Arts. The following topics will be covered:

Writing essay papers Study Skills Grammar review Taking notes

Assignment notebooks Reading skills Classroom participation Preparing for tests

Math Concepts & Skills $170 (includes $20 material/book fee) Dates: June 20 to July 14 Time: 10:45 – 1:15 A 4-week course designed for students preparing for Pre-Algebra and Algebra I at Paraclete High School. The emphasis will be placed on the skills necessary for Algebra I: addition, subtraction, multiplication, division, times-tables, and interchanging fractions, decimals and percents. The class will also feature signed number practice, word problems, math games and relays, personal best-speed drills, basic concepts in Algebra and practice in graph reading. (The grades earned for English/Study Skills and Concepts & Skills for Algebra I Level I- do not become part of a freshman’s permanent record; however, an unsatisfactory grade will affect admissions.)

FRESHMEN - SUMMER SESSION REGISTRATION FORM 2016

Students are expected to be well mannered, polite and respectful to each other and to faculty at all times. Students choosing to behave otherwise will be asked to withdraw.

(Rev 2/22/2016)

Please return this form and payment at your scheduled registration appointment.

Student’s Name: __________________________________________________________________________________________ Last First

Address: _________________________________________________________ Home Phone: ___________________________ Mother’s name: ___________________________________________________ Daytime #: _______________________________ Father’s name: ____________________________________________________ Daytime #: ________________________________ In an emergency please contact the following person: Emergency contact person: __________________________________________ Phone #: _______________________________ Last First

Please check the class(es) you are taking: FOUR WEEK COURSES (MAY BE SUGGESTED OR REQUIRED – OPEN TO ALL) English/Study Skills June 20 thru July 14 Monday thru Thursday 8:00 a.m. to 10:30 a.m. Cost: $170 Math Concepts & Skills June 20 thru July 14 Monday thru Thursday 10:45 a.m. to 1:15 p.m. Cost: $170

Official use only Cash Receipt #____________________________ Amount Paid _____________ Check #__________________________________ Financial office signature: ______________________________

Keep the bottom portion for your records.

FOUR WEEK COURSES Open to all freshmen. Some students may be required or recommended to take these courses. English/Study Skills June 20 thru July 14 - Monday thru Thursday 8:00 a.m. to 10:30 a.m. Cost: $170 (includes $20 material/book fee) Math Concepts & Skills June 20 thru July 14 - Monday thru Thursday 10:45 a.m. to 1:15 p.m. Cost: $170 (includes $20 material/book fee) (This class is suggested for students who will be placed in beginning Algebra and may need additional assistance based on the testing results.) Classes will meet 4 times a week, Monday through Thursday. NO SCHOOL on Fridays. ATTENDANCE: A student who is absent more than three times will not have met the minimum course requirements and will not be eligible to receive credit for course. Three (3) tardies are equivalent to one (1) absence. DRESS CODE: The regular Paraclete uniform dress code will be followed for Summer School. Uniform shirts will be available for purchase the first day of Summer School at the “SPIRIT STORE”.