Little Flower School Re-enrollment

Student Information

Contact Information

Race and Ethnicity

Please respond to both the race and ethnicity (Hispanic or not) question, so that we may accurately complete required reports.

Student's Religion

Prior Education

Family Information

If there are custody, visitation, or other legal agreements or orders concerning the student or access to the student's records, please present the paperwork at the time of registration so that a copy may be placed in the records.

Legal Female Guardian

Information below is for parents, adoptive parents or those with legal guardianship over a child. Please include step-parent information on Authorized Contacts Form.

Legal Male Guardian

Information below is for parents, adoptive parents or those with legal guardianship over a child. Please include step-parent information on Authorized Contacts Form.

Student Sacramental Information

If your child has not received any of the sacraments (Baptism, Reconciliation, Eucharist by grade 3, Confirmation in high school), please contact your parish.

Emergency / Health Information and Consent

List any medical considerations of which the school should be aware, as well as any medication which the student must take at any time. If the student must take medication during school hours as prescribed by a doctor you must turn in a form called Authorization for Administration of Medication #9400-HES-005. This form must be signed by the doctor. (Forms are available from the doctor).

Statement of Cooperation

In making application for my child, it is my desire to have him/her complete the school year 2020-2021. It is also my understanding that the policy of the school is to make no refunds on fees. If a child is withdrawn prior to July 1st, there will be a full refund of tuition minus fees. As of July 1st, there will be no refund of two (2) months of tuition.

I understand the policy that my child’s attendance at your school may be terminated if tuition is two (2) months in arrears, unless a payment plan has been approved by the Administration. Prior to the beginning of the school year, if two or more month’s tuition is not paid the student’s registration is automatically terminated and the student’s position is relinquished to another student.

If a student withdraws from school once classes have begun, tuition up to and including the quarter in which the student withdraws is non-refundable. At any time during the school year, if a family is delinquent in tuition payments by more than one month, the student may not attend school until payments are made current. This includes taking semester exams.

All payments for the 2020-2021 school year must be completed for a student to take final exams. I understand I am responsible for all tuition and fees incurred by my child up to the date of withdrawal. I hereby agree that my child and guardian(s) shall abide by the policies, rules and regulations of your school at all times.

I give my permission for my child to take part in all school activities, including sports and school-sponsored trips away from the school premises, and I absolve the school from liability to me or my child because of loss of property or because of any injury to my child at school or during any school activity.

Scholarship Information

In the state of Florida, we are blessed with several school choice scholarship opportunities for families of students in K-12 programs, as well as pre-kindergarten (VPK). Families may qualify for FTC Scholarship based on income and family size; McKay and Gardiner scholarships are based on qualifying special needs.

All families seeking tuition assistance should speak with their school’s principal about applying for one of the following scholarships in addition to seeking local financial aid. Please visit https://ptdiocese.org/scholarships for more information.

Grandparent Information

Finance Information

Name and address of person responsible for tuition and other financial obligations (if different from parent or guardians listed above).

Authorized Contacts (Emergency Contacts & Authorized Pickups)

Please use this form to list authorized contacts for your child/children. Everyone listed on this form will be eligible to pick up your student(s). Please instruct emergency contacts and authorized pickups to bring identification (driver's license or other government issued identification) with them when picking up a child.

Please indicate whether the person should be an emergency contact. We will always attempt to contact parents first in case of an emergency.

If there are custody, visitation, or other legal agreements or orders concerning the student or access to the student's records, please present the paperwork at the time of registration so that a copy may be placed in the records. Unless appropriate custody paperwork is received, both parents will have equal rights to access student records, and to provide emergency contacts and authorized pickups.

If you want to apply this list of contacts to all students in the family, please indicate by listing your children's names and grades below.

Authorized Contact #1

Two authorized contacts are required.

Authorized Contact #2

Two authorized contacts are required.

Authorized Contact #3

Authorized Contact #4

Authorized Contact #5

Authorized Contact #6