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)

    Medical Condition

    Full Fee: $2,695.00 Including HST
    Payment Options (Please check one)

    Installments:

    *First installment of $300.00 must be paid upon Registration*

    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*