St. Joseph School

A Place With Heart

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Registration Form

Student Registration Form

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Please complete the registration form below. In addition, all NEW families are required to register with our tuition management program FACTS at www.factsmgt.com. Your child’s placement is not guaranteed until your FACTS Tuition Account has been set up for the 2023-2024 school year.

The Family Registration fee of $200.00 will be withdrawn from your FACTS Tuition account on February 1, 2023.
Which year are you registering for? REQUIRED 2022 - 2023 2023 - 2024 Please fill out this field.
- Students REQUIRED Please fill out this field.
- Student 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
  - Birthplace Please enter valid data.
  - Present School REQUIRED Please fill out this field. Please enter valid data.
  - Present Grade REQUIRED Please fill out this field.
  - Grade in September of the enrolling school year REQUIRED Please fill out this field.
  - Public School district of residence REQUIRED Please fill out this field. Please enter valid data.
  - Race REQUIRED Asian African American Caucasian Hispanic American Indian Multi-Racial Pacific Islander White (not Hispanic origin) Other Please fill out this field.
  - Ethnicity REQUIRED Hispanic Non Hispanic Please fill out this field.
  - Please list all sacraments student has received to date - Baptism, First Eucharist, First Penance, Confirmation
    Please include date of sacrament, and the name and address of the church
- Student 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
  - Birthplace Please enter valid data.
  - Present School REQUIRED Please fill out this field. Please enter valid data.
  - Present Grade REQUIRED Please fill out this field.
  - Grade in September of the enrolling school year REQUIRED Please fill out this field.
  - Public School district of residence REQUIRED Please fill out this field. Please enter valid data.
  - Race REQUIRED Asian African American Caucasian Hispanic American Indian Multi-Racial Pacific Islander White (not Hispanic origin) Other Please fill out this field.
  - Ethnicity REQUIRED Hispanic Non Hispanic Please fill out this field.
  - Please list all sacraments student has received to date - Baptism, First Eucharist, First Penance, Confirmation
    Please include date of sacrament, and the name and address of the church
- Student 3
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
  - Birthplace Please enter valid data.
  - Present School REQUIRED Please fill out this field. Please enter valid data.
  - Present Grade REQUIRED Please fill out this field.
  - Grade in September of the enrolling school year REQUIRED Please fill out this field.
  - Public School district of residence REQUIRED Please fill out this field. Please enter valid data.
  - Race REQUIRED Asian African American Caucasian Hispanic American Indian Multi-Racial Pacific Islander White (not Hispanic origin) Other Please fill out this field.
  - Ethnicity REQUIRED Hispanic Non Hispanic Please fill out this field.
  - Please list all sacraments student has received to date - Baptism, First Eucharist, First Penance, Confirmation
    Please include date of sacrament, and the name and address of the church
- Student 4
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
  - Birthplace Please enter valid data.
  - Present School REQUIRED Please fill out this field. Please enter valid data.
  - Present Grade REQUIRED Please fill out this field.
  - Grade in September of the enrolling school year REQUIRED Please fill out this field.
  - Public School district of residence REQUIRED Please fill out this field. Please enter valid data.
  - Race REQUIRED Asian African American Caucasian Hispanic American Indian Multi-Racial Pacific Islander White (not Hispanic origin) Other Please fill out this field.
  - Ethnicity REQUIRED Hispanic Non Hispanic Please fill out this field.
  - Please list all sacraments student has received to date - Baptism, First Eucharist, First Penance, Confirmation
    Please include date of sacrament, and the name and address of the church
If your student is new to St. Joseph School this year, a copy of their birth certificate is required and must be submitted to the main office.
- Parent/Guardian Information (please select number of parent(s)/guardian(s)) REQUIRED Please fill out this field.
- Parent/Guardian 1
  - Relationship to Student REQUIRED Please fill out this field.
  - M/M REQUIRED Please fill out this field.
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
  - Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  - Home Phone Number Please enter valid data.
  - Work Phone Number Please enter valid data.
  - Email REQUIRED Please fill out this field. Please enter an email address.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Birthplace Please enter valid data.
  - Child(ren) lives with REQUIRED Please fill out this field. Please enter valid data.
  - Parents are REQUIRED Married Divorced Separated Single Remarried Please fill out this field.
  - Religion Please enter valid data.
  - Citizenship (country) Please enter valid data.
  - Occupation Please enter valid data.
  - Other languages spoken at home Please enter valid data.
  - Parish I/we am/are registered member(s) of: REQUIRED Please fill out this field. Please enter valid data.
  - Other children living in your home
    Please include full name, date of birth, school attending, and grade
  - Has anyone in your immediate family served in the military?
- Parent/Guardian 2
  - Relationship to Student REQUIRED Please fill out this field.
  - M/M REQUIRED Please fill out this field.
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
  - Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  - Home Phone Number Please enter valid data.
  - Work Phone Number Please enter valid data.
  - Email REQUIRED Please fill out this field. Please enter an email address.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Birthplace Please enter valid data.
  - Child(ren) lives with REQUIRED Please fill out this field. Please enter valid data.
  - Parents are REQUIRED Married Divorced Separated Single Remarried Please fill out this field.
  - Religion Please enter valid data.
  - Citizenship (country) Please enter valid data.
  - Occupation Please enter valid data.
  - Other languages spoken at home Please enter valid data.
  - Parish I/we am/are registered member(s) of: REQUIRED Please fill out this field. Please enter valid data.
  - Other children living in your home
    Please include full name, date of birth, school attending, and grade
  - Has anyone in your immediate family served in the military?
Please list the following information in case of an emergency
Medical Insurance Company REQUIRED Please fill out this field. Please enter valid data.
Policy # REQUIRED Please fill out this field. Please enter valid data.
Person to be contacted in case of an emergency if parent/guardian cannot be reached:
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to student(s) REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
FACTS Directory Information
- Student and family information will now be available in the FACTS Portal. To respect your privacy regarding your address and phone number, please check the box next to any piece of information which you would not like available to the school community via FACTS.
- FACTS Directory Information Father's Name Mother's Name Address Phone Number Email Address
- Non-Custodial Guardian
  
  If a parent/guardian does not reside at the same address as the student but wishes to receive duplicate school communications (newsletters – via e-mail, copies of report cards, notification of parent/teacher conferences), please fill out the following boxes.
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
- Can this person's information be published in the FACTS Portal? Yes No
Please list two alternate adults who are authorized to pick up your child(ren).
- Other Authorized Adults REQUIRED Please fill out this field.
- Authorized Adult 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Relationship to child Please enter valid data.
  - Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  - Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
- Authorized Adult 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Relationship to child Please enter valid data.
  - Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  - Address REQUIRED Please fill out this field. Please enter valid data.
  - City REQUIRED Please fill out this field. Please enter valid data.
    
    State REQUIRED Please fill out this field.
    
    Zip REQUIRED Please fill out this field. Please enter a zip code.
Preschool Options
- Preschool Option REQUIRED Please fill out this field.
Other Notes?
Photo Release Information

I hereby consent to and authorize the use and reproduction by St. Joseph School, or anyone authorized by St. Joseph School, of any and all photography, still or in motion, and/or all audio recordings in which this student appears.

I acknowledge that we will not be paid compensation for any reproduction of these materials. All negatives, prints, and audiotapes are St. Joseph School property.

I hereby certify that I am the parent or guardian of the student named above, and I give my consent without reservation.
Photo Release Agreement Yes, I Consent No, I do not want pictures of my child(ren) published as stated in our Photography Policy.

Financial Agreement

A non-refundable family registration fee of $200.00 will be applied to your FACTS Tuition Account on January 15.

Please refer to the 2023-2024 Tuition Schedule for details.

Grades K-6	2022-2023	2023 - 2024
1st Child	$5,200	$5,400
2nd Child	$4,100	$4,300
Each Additional Child	$3,200	$3,400

Preschool
Pre-K 3 (T,Th)	$3,250	$3,450
Pre-K 3 (M,W,F)	$3,650	$3,850
Pre-K 3 (M-F)	$4,400	$4,600

Pre-K 4 (M,W,F) AM	$3,650	$3,850
Pre-K 4 (M-F) AM	$4,400	$4,600

Pre-K 4 (M,W,F) full day	$4,400	$4,600
Pre-K 4 (M-F) full day	$5,200	$5,400

These rates do not include the $200.00 family registration fee.

Payment Options

All tuition payments will be processed by Facts Tuition Management. ALL families are required to set up an account with them. Families with existing accounts must update the payment option and payment method. Current families adding a new student(s) need to add them to their account.

FACTS Registration
Payment Option REQUIRED Annual: Due August 5 Semi-Annual: Due August 5 and January 5 Ten Month: Due Monthly - August through May on the 5th or the 20th of each month Please fill out this field.
UNDERSTANDING
- I have been provided with a copy of the St. Joseph School TUITION COLLECTION POLICIES AND PROCEDURES. I have read this statement and understand its contents. In particular, I realize school policy states that if my tuition payments are two months in arrears, I may be asked to withdraw my child(ren) from school.
- I agree to pay a $25 late fee assessed after the due date.
- I understand that delinquent accounts are referred to a collection agency when all other attempts to obtain payment have failed. In this event, I agree to pay all costs related to the collection and/or legal process.
- If this is a re-registration, I understand that final validation for registration and grade placement for the next school year are dependent upon completion of all financial responsibilities for the current school year.
I understand that by the submission of this form I have read and agree to the above terms.

Submit

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Our rolling registration policy allows us to process requests throughout the year based on availability of space.

New Students:

Parents of new students need to submit the additional "New Student- Information Form" found in the "Documents & Forms" section on this page. A copy of the child's birth certificate is also required.
If you would like help with the registration process please call us anytime during school office hours (7:30 a.m. - 3:00 P.m.).
Contact Us
- Lisa Lynd
  
  Administrative Assistant
  
  585-586-6968
  lisa.lynddor.org
- Colleen Giallanza
  
  Administrative Assistant
  
  585-586-6968
  colleen.giallanzador.org
Documents & Forms
Links
Kindergarten

Our Kindergarten program is a full day program, operating between the hours of 7:45 a.m. until 2:00 p.m. dismissal.

The child must be 5 years of age by December 1.
Order Of Admittance
In addition to the general admission policies, if space is limited, the following priority procedures will be followed for prospective incoming students:
1. Children currently registered in preschool through grade five in St. Joseph School.
2. Children whose siblings are currently registered in preschool through grade six in St. Joseph School.
3. Children, then grandchildren, of current teachers at St. Joseph School.
4. Children of former students of St. Joseph School.
5. Validated, registered parishioners from Catholic parishes.
6. All others.
In the event of a capacity restraint for any grade, names will be chosen by lottery and a waiting list will be maintained.
Health Office Requirements
All students must meet the Minimum Immunization Requirements for School Attendance. Please send immunization records and physical examination copies to the Health Office by August 15, 2023.

Emergency Care Plan for Epi Pens & Benadryl must be completed yearly prior to the start of school.

Pre-K 3 and Pre-K 4
- Immunization Record, required by New York State
- Physical Examination dated after 9/1/2022.
- Lead screening results
Kindergarten
- Immunization Record, required by New York State
- Physical Examination, valid from the first day of school required by New York State. Must be dated after 9/1/2022.
First, Third, and Fifth Grade
- Physical Examination, valid from the first day of school. Required by New York State. Must be dated after 9/1/2022.
Sixth Grade
- Proof of Tdap immunization.
All New Students to St. Joseph School
- Immunization Record, required by New York State.
- Physical Examination, valid from the first day of school. Required by New Your State. Must be dated after 9/1/2022.
photo release policy

Throughout the year, the Diocesan Catholic Schools often take photographs of their students engaging in classroom activities and participating in school events. The photographs are used for general marketing purposes in publications, public relations, promotions, and advertising - both in print and online. They are also posted on Facebook, Instagram, Twitter, and on the teachers' classroom pages as a way to share the students' school day with their school families. SeeSaw is sometimes used by classroom teachers and parents only and is not posted publicly.
To protect our students' identity, we will NOT use their full names and biographical information in conjunction with photographs designated for promotional purposes to the general public. However, internally distributed materials, such as the school yearbook and newsletter, will include our students' full name. In the event a third party wishes to publish a news-related story about our school, we will do our best to limit them to the use of the students' first name and last initial only.

Registration Form

Payment Options

UNDERSTANDING

New Students:

If you would like help with the registration process please call us anytime during school office hours (7:30 a.m. - 3:00 P.m.).

Pre-K 3 and Pre-K 4

Kindergarten

First, Third, and Fifth Grade

Sixth Grade

All New Students to St. Joseph School