St. Jude’s Registration 2017/2018 School Year Parent/Custodian Name (required) Apartment Email Address Phone (Home) xxx-xxx-xxxx Phone (Cell) xxx-xxx-xxxx Phone (Work) xxx-xxx-xxxx Address Postal Code (required) Student's Name (required) Entering Grade (September, 2017) (required) JKSK123456789101112 Medical Condition Full Fee: $2,695.00 Including HST Payment Options (Please check one) Full Payment: $2,695 Due with registration Installments: *First installment of $300.00 must be paid upon Registration* Two Payments of $1, 298.00 Due May 31/2017 & August 31/2017Three Payments of $865.00 Due April 30/2017, June 30/2017 & Aug 31/2017 Method of Payment (Please check one) *Please note all credit cards will be charged an additional 2%* *Make cheques payable to Next Stop School Busing* CashChequeVisaMaster CardE-Transfer