st. john fisher school...spring fundraiser $300 per family includes: ($200 for 2 dinners & $100...
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ST. JOHN FISHER SCHOOL
Dear Prospective Parents,
Thank you for your interest in St. John Fisher School. Enclosed you will find some material on the school and its programs, as well as an application packet. St. John Fisher School is a TK-8 Catholic Elementary School that promotes excellence and personal growth for each of its students. The faculty plans a challenging, comprehensive and relevant curriculum for its students using the Common Core Standards and the Schoolwide Learning Expectations derived for the school’s philosophy. The commitment to the school from our parents, grandparents, parishioners, faculty and staff enables the school to provide a rich meaningful experience of Catholic Christian community; an education of heart, mind, and soul. I look forward to meeting you and your child.
Sincerely,
Mrs. Anne-Hudani Principal
SCHOOL OFFICE 5446 CREST ROAD- RANCHO PALOS VERDES, CALIFORNIA 90275-5097
OFFICE (310) 377-2800 – Fax (310) 377-3863 - EMAIL: PRINCIPAL@SJF.ORG-
TUITION AND FEES 2019 – 2020 Tuition & Fees listed below are for the 2018–2019 school year. Fees will increase slightly for new year.
Tuition Grades TK-8
(For non-Catholic and Catholic families who do
not attend SJF Church.
Year 10 payments
1 student $9,200 $920
2 students $18,400 $1,840
3 students $27,600 $2,760
4 students $36,800 $3,680
Discounted Tuition (For Catholic families registered with St. John Fisher Church,
who attend Mass, as indicated by the use of weekly envelopes or
Faith Direct coupons – please see second page for further
explanation)
Year 10 payments
1 student $6000 $600
2 students $12000 $1200
3 students $15,000 $1,500
4 students $15,000 $1,500
Transitional Kindergarten
$6500 $650
General Fee: $800 per child non-
refundable) (this helps cover textbooks,
program licensing, software, hardware,
student insurance, SchoolSpeak
Communication, earthquake/disaster fee,
standardized testing, and AAYF materials,)
PTA Fee $100 (per family) helps cover
costs for the phone directory, Back to School
BBQ & hospitality.
Graduation Fee: $300 (8th
grade only)
non-refundable. (Includes yearbook).
Capital Improvement Fee: $500 (New Families
only) Payment of this fee is due at time of
acceptance. This fee is assessed so that new
families may contribute to recent capital
expenditure/maintenance, as returning families
have already done. (non-refundable)
Returned Check Fee: $25
FACTS Tuition Management
In the events FACTS is unable to withdraw a
tuition payment, there will be a $30 penalty
payable to FACTS and $25 payable to the
school.
PAYMENT OF TUITION AND FEES There are two options for payment of tuition:
A. Payment in full by August 1.
B. Enroll with FACTS, our tuition management company. Families have 24/7 access to
their account. Ten tuition payments will be withdrawn starting in September and
ending in June. See page #2 for schedule (dates) of deductions.
TUITION AND FEES 2019 – 2020 Tuition & Fees listed below are for the 2018–2019 school year. Fees will increase slightly for new year.
Discounted Tuition In order to receive the discounted rate, you are requested to use the parish envelopes to indicate your
attendance at Mass. Please remember that our philosophy states that we are preparing our students to,
“participate both in the spiritual and liturgical life of the parish…” We ask that you support our goals by
attending weekly Mass and participating in the sacraments and parish activities.
The Parent Agreement, which you sign each year states: I understand that the discounted rate is for parish
members who help support the parish through weekly attendance at Mass as indicated in the following
ways:
Envelopes
1. Make your gift using traditional envelopes for cash or checks. Envelopes must be handed in at
Saturday/Sunday Mass to indicate participation. Envelopes should not be submitted or mailed to
the Parish Office. There is no set dollar amount required in the parish/weekly envelope.
2. Online Giving/Faith Direct
Signup for automated giving with your debit or credit card via Faith Direct. It is secure,
convenient and no cost to you. Join today by visiting www.faithdirect.net. Our parish code
is CA436. You will receive coupons from Faith Direct to use at Mass.
Tuition rate will be evaluated and adjusted, if necessary, prior to the beginning of each trimester.
If you have any questions regarding this policy, please contact our pastor, Msgr. Sork.
FACTS MANAGEMENT SCHEDULE OF PAYMENTS
https://online.factsmgt.com/signin/3F9GW
Payments are spread out over 12 months: on or around the 5th
of EACH month
July: General Fee $800 per student
August: PTA Fee $100 per family
Jog-a-thon/Carnival $125 per student includes: Carnival wristband
Spring Fundraiser $300 per family includes:
($200 for 2 Dinners & $100 Hawaiian Raffle)
Year Book $50 per book ordered
Graduation Fee $300 –8th
grade only---includes yearbook
September-June Tuition 10 CONSECUTIVE MONTHS
Fees for Field Trips, Sports Fee, Extended Daycare & any additional activities will also be
deducted from FACTS at announced dates.
SJF School Parent Service Hour Requirements Total Requirement = 40 Hours of Service per family
If you know that you cannot fulfill this requirement, your Buyout is $800.
Additional opportunities to complete service hours:
• Community/School Activities & Events: Morning Traffic Duty, Hospitality,
Art-at-Your Fingertips, Spring Auction, Jog-a-Thon, Carnival, International Day, Science Fair,
Career Day, Yearbook.
• Classroom/Student-Specific Volunteer Hours Room Parent, Field Trips, Class parties, Classroom events
All families will receive a welcome email from School Speak---our information, announcement & grade
reporting system. Each parent will have their own login and password. Once you log on for the first time,
please update your profile: add all your information, address, phone numbers, any additional email addresses.
In the event of an emergency, we are equipped to send text messages. Please add all mobile numbers. You
will want to get in the habit of looking at School Speak several times a day, as new information and
announcements often get posted throughout the day.
In July, YARD DUTY sign-ups will be available on school speak. Parents will have until September 1st to sign
up for 8 (eight) yard duties. If you do not sign up for 8 yard duties, you will be billed $240 payable by
September 15th. Each yard duty shift is one hour of your time, but you will earn one and a half service hours, a
value of $30.
If you sign up and are not able to come on your scheduled day, and unable to switch/trade with another parent,
you will be billed $30. We hope you understand that we need your help and are counting on you to keep all our
children safe during lunch and recess time.
In July, HEALTH ROOM sign-ups will be available on school speak. Parents will have until September 1st to
sign up for one day or two half days. If you do not sign up, you will be billed $140 (7 hours @ $20 per hour.) If
you sign up and are unable to come on your scheduled day, and are unable to switch/trade with another
parent, you will be billed accordingly.
School Speak automatically sends email reminders to alert you of your upcoming commitment.
Lunch/Yard Duty requirement --- 8 times/days—One hour shift (earns 1.5 hours)
Health Room requirement----- One whole day or two half day shifts
Date #Hours Description of Work Signature/name 1--yard duty=1.5 hours
2--yard duty=1.5 hours 3--yard duty=1.5 hours 4--yard duty=1.5 hours 5--yard duty=1.5 hours 6--yard duty=1.5 hours 7--yard duty=1.5 hours 8--yard duty=1.5 hours
Health Room --1
Health Room-- 2
All families are required to give 40 hours of service to SJF. The value of each hour is $20 for a total value of $800. We ask that you try to do 20 hours in the first semester and 20 in the second semester. Yard duty is an 8-time commitment earning 12 service hours. (bonus time given) Health room can be one all day commitment or can be split into one morning and one afternoon or any combination. Please remember to log your own hours in order to receive the proper credit!
«Family_Name» «FirstName» «LastName» Grade «Grade»
FundraisingRequirements
TuitionandFeescoveronlyapartofthetotalcostofprovidingeducationatSt.JohnFisherSchool.EachfamilyatSt.JohnFisherSchoolisrequiredtoparticipateinthefundraisingprogram.YourparticipationinthisprogramisvitaltothesuccessofSt.JohnFisherattainingitsfundraisinggoal.Allfamiliesagreetosupplementtuitionandfeesandassistinschoolactivitiesandfundraisingbyassumingresponsibilityforeachofthefollowing:A.Jog-a-thonandCarnival–$125perstudent
• ThiseventisheldinthemorningonoraroundHalloween,October31st.
Thisisaparentparticipationevent.StudentswillreceiveaspecialJog-a-thonT-shirtinacolorspecifictotheirclassroom.StudentsparticipateinacontesttodesignthefrontoftheT-shirtwithadesignatedthemeeachyear.Eachfamilywillpre-pay$100perstudentforthisevent.FamiliesorbusinessescanadvertisetheirnameonthebackoftheT-shirtforanadditional$200.Studentscanalsoaskfamilymemberstosponsortheir“fun-run”toraisemoremoneyfortheirclass/school.Prizesareawardedtotheclassraisingthemostmoneyandtothestudentbringinginthemostmoney.
• CarnivalintheafternoonfollowingtheJog-a-thon:Thisisanotherparentparticipationevent.Eachclassroomsponsorsagamewithprizesandsnacks.Wehavearockclimbingwall,dunktankand“bouncetoys.”Studentspre-purchasea$25wristband,whichallowsthemtohaveunlimitedsnacksandplayunlimitedgames,includingvisitingthespecial8thGradeHauntedHouse.
B.SpringFundraiser/HawaiianRaffleTickets$300perfamily
• Eachfamilywillpre-payfortwotickets($200)totheannualSpring
Fundraiser/DinnerDance/Auction.• EachfamilymusteitherdonateorsolicitanauctionitemfortheFundraiser
valuedatleast$100.Eachclasswillalsohaveaspecialprojectoreventtobeauctionedatthefundraiser.(additionalcosttobedetermined)
• HawaiianRaffleTicketsEachfamilywillreceiveforthemselves,ortosell,atleast$100ofHawaiianRaffleticketstowina8day/7nightstay(includingairfare)attheRoyalLahainaResortinMaui,Hawaii,madepossiblebyagrantfromtheHannonFoundation.
St. John Fisher School Extended Day Care Program
St.JohnFisherSchooloffersanAfterSchoolPrograminthechurchauditoriumforthosestudentswhoseparentsdesireasafeandcaringplacefortheirchildrentogoafterschool.Theprogramwillcommenceonthefirstdayofschool.
Hours
FullDay 3:15-6:00p.m.Fridays3:15-5:00pm
MinimumDay 12:25-6:00p.m.Fridays12:25-5:00pm
Parentsmaychoosetosendtheirchild/renonaregularbasisoronanoccasionalbasisreferredtoas“Drop-Ins”.Afeeof$10foreachhourorpartofanhour($2.50perfifteenminutes)thatachildparticipateswillbecharged.
DaycareoperatesoutoftheauditoriumunderthesupervisionoftheDayCareDirector.Studentsareprovidedwithstructuredtimetocompletehomework.
Parentsareexpectedtopickuptheirchildrennolaterthan6:00p.m.Studentsmustbesignedoutbyaparentorotheradultspecifiedonthestudent’semergencycard.
Anystudentremainingafter6:00p.m.willbechargedattherateof$10perminute.Frequentlateness(morethanthreeoccasions)inpickingupastudentwillbegroundsforterminatingthestudent’sparticipationintheprogram.Likewise,failureofastudenttocomplywiththerulesanddisciplinerequirementsoftheprogramisgroundsforterminatingthestudent’sparticipation.
Feeswillbebilledmonthly,onthelastdayofeachmonth,andaredueandpayablebythe10thofeachmonth.Billswillbehandedtoparentsonthefirstofthemonthwhentheypickuptheirchildrenfromdaycare.Parentswillsignreceiptofthebill.
Alatefeeof$25.00willbeaddedtoanyaccountunpaidbytheendofthemonth.Familieswhohavelatefeesonthreeoccasionswillhavetheprivilegeofdaycarewithdrawn.
ExtendedDayCareFees
HourlyRate
$10perhour 1sthourofafterschoolcareand$2.50per15minutesthereafter
FlatRate
$300permonth onechild
$400permonth twochildren
$500permonth threechildren
PleaseTearoffandReturn
YourchildwillnotbeableintoparticipateinDayCareuntilthishasbeensignedandreturned
...........................................................................................................................................................
OurfamilyhasreceivedandreadtheExtendedDayCareProgramInformationSheet.Weareawareof,understand,andagreetofollowthepoliciesandproceduresstatedabove.Weacknowledgethattheschoolhastherighttoamendthedaycarepoliciesduringtheschoolyearasneeded,andweagreetofollowthepoliciesandproceduresasmaybeaddedoramended.
Weunderstandthat:• Wewillbecharged$10perminuteifwedonotpickupourchildby6pm.
• Ourchild’sparticipationintheExtendedDayCareProgramwillbeterminatedifwearelateforpick-uponmorethanthreeoccasions.
• Ourchildwillnotbeallowedtoparticipateinthedaycareprogram,ifhe/shefailstocomplywiththerulesanddisciplinerequirements.OursignaturesbelowindicateourcommitmenttofulfillourobligationsaccordingtotherequirementsoftheExtendedDayCareProgram.
FamilyName:_____________________________________________ParentSignature:__________________________________________Date:_________________
SAINT JOHN FISHER SCHOOL NAME ______________________________ STUDENT __________________________________ GRADE _______ Address ___________________________________________ City __________________________ Zip ____________ Phone: Day (_____) _________________ Home (____) _________________ Date:_________2017/18
GIRL'S TK-8GIRL'S JUMPER AND PETER PAN GIRL'S JUMPER AND PETER PAN GIRL'S SKIRT
TK & K Grades 6-8COLORS: COLORS: COLORS:
Khaki Jumper Green/Grey Plaid Green, Grey andWhite Peter Pan blouse White Peter Pan blouse Gold Plaid
SIZES & PRICES Child 4-5-6-6X $13.99 x____ = $________
Child 4-5-6-6X $13.99 x____ = $____________ Child 7-16 $13.99 x____ = $________ Child 4-6-8-10 $39.99 x____ = $__________ Child 7-16 $13.99 x____ = $____________ 12-14-16-18-20 $39.99 x____ = $__________
Child 4-5-6-7-8-10-12 $39.99 x____ = $_______Child 3-4-5-6-7-8 $21.99 x____ = $_______ 14-16 $39.99 x____ = $_______ Waist 31"-38" $42.99 x____ = $________
X Sizes $42.99 x____ = $_______ Waist 38+ Price Quote
GIRL'S POLOS SHIRTS GIRL'S PLEATED PANT GIRL'S PLEATED WALKING SHORT (With Embroidered Logo) GIRL'S FLAT FRONT PANT GIRL'S FLAT FRONT SHORTS
Grades TK-8 COLORS: GradesTK-8 COLORS: Grades TK-8 COLORS:
Green Khaki KhakiWhite
5/6,7/8,10/12, $19.99 x____ = $_________ Child3-4-5-6-6X $19.99 x____ = $__________ 14/16, 18/20 $19.99 x____ = $_________ Child 4-5-6-6X $21.99 x____ = $_______ 7- 8-10-12-14-16 $19.99 x____ = $__________
Adult S-M-L-XL $22.99 x____ = $_________ 7- 8-10-12-14-16 $23.99 x____ = $________ Half Sizes $25.99 x____ = $__________Half Sizes $29.99 x____ = $________ Jr 3-5-7-9-11-13 $25.99 x____ = $__________
5/6,7/8,10/12, $22.99 x____ = $_________ 14/16, 18/20 $22.99 x____ = $_________ Child 4-5-6-6X $23.99 x____ = $________ Child3-4-5-6-6X $22.99 x____ = $________
Adult S-M-L-XL $25.99 x____ = $_________ 7- 8-10-12-14-16 $25.99 x____ = $________ 7- 8-10-12-14-16 $22.99 x____ = $________Jr and Half Sizes $29.99 x____ = $________ Jr and Half Sizes $25.99 x____ = $________
GIRL'S SWEATERS (K-8) GIRL'S PULL ON PANT GIRL'S DROP YOKE SKORT(With Embroidered Logo) GIRL'S PULL ON SHORT Grades K-8 COLORS:
Grades TK-8 COLORS: TK-K 2" Longer KhakiBlack COLORS:
Khaki
Child 5/6 - 18/20 $29.99 x____ = $___________ Adult S-M-L-XL $29.99 x____ = $___________
Cardigan Sweater SIZES & PRICES Child 5/6 - 18/20 $34.99 x____ = $___________ SIZES & PRICES Adult S-M-L-XL $39.99 x____ = $___________ Child 4-5-6-6X $27.99 x____ = $__________
V-Neck Sweater Child 2-3-4-5-6-7 $16.99 x____ = $_________ 7-8-10-12-14-16 $27.99 x____ = $__________ Child 5/6 - 18/20 $29.99 x____ = $___________ Half Sizes $29.99 x____ = $__________ Adult S-M-L-XL $35.99 x____ = $___________ Child 2-3-4-5-6-7 $19.99 x____ = $_________
Phone Orders: (310) 832-8342
FAX Orders: (310) 832-1410 NORMAN'S UNIFORMSInternet: www.normansuniforms.com / School Code #5446 371 W. 6th Street. San Pedro, CA 90731
Long Sleeve Polo Shirts
Grades 1 - 5
Flat Front Pant Flat Front Shorts
Pleated Shorts
Peter Pan Blouse
Jumper
Peter Pan Blouse
Jumper w/ Embroidered Logo
Pleated PantShort Sleeve Fitted or Unisex
Vest
Pull on Shorts
Pull on Pants
GIRL'S TACKLE TWILL SWEATSHIRT GIRL'S 1/4 ZIP POLARFLEECE GIRL'S HOODED JACKET(With Embroidered Logo) (With Embroidered Logo) GIRL'S TRACK Jacket
Grades K-8 COLORS: Grades TK-8 COLORS: (With Embroidered Logo) Russell Dark Green Green Grades K-8 COLORS:
Black Green or Black Hood JacketGreen Track Jacket
SIZES & PRICES Green Track JacketSIZES & PRICES Child S-M-L $55.00 x____ = $________
A XS-S-M-L-XL $59.99 x____ = $________Child S-M-L $34.99 x____ = $________ Green or Black Nylon Hooded Jacket
Adult S-M-L-XL $39.99 x____ = $________ Child S-M-L $39.99 x____ = $_________ Child S-M-L-XL $49.99 x____ = $_________ Adult 2XL $42.99 x____ = $________ Adult S-M-L-XL $45.00 x____ = $_________ Adult S-M-L-XL $55.00 x____ = $_________
Adult 2XL-3XL $58.00 x____ = $_________
GIRL'S TRACK PANT GIRL'S P.E. ITEMS GIRL'S ACCESSORIESGrades K-8 Grades K-8 Grades TK-8
COLORS: COLORS:Black Khaki
PlaidNavy or Khaki Belt
Child S-M-L $8.99 x____ = $_______Adult S-M-L-XL $9.99 x____ = $_______ NAVY BIKE SHORT $12.99 x____ = $__________Adult 2XL-3XL $10.99 x____ = $______ SCRUNCHIE $4.99 x____ = $__________
SIZES & PRICES SIMPLE BOW $7.99 x____ = $__________FANCY BOW $8.99 x____ = $__________
Child S-M-L $27.99 x____ = $_________ Child S-M-L $13.99 x____ = $_______ HARD HEADBAND $7.99 x____ = $__________Adult S-M-L-XL $29.99 x____ = $_________ Adult S-M-L-XL $14.99 x____ = $_______ SOFT HEADBAND $7.99 x____ = $__________Adult 2XL-3XL $32.99 x____ = $________ Extra Long Length $16.99 x____ = $_______ WIDE HEADBAND $7.99 x____ = $__________
Ponytail Streamer $6.99 x____ = $__________BELT 20-38 $9.99 x____ = $__________
TO ORDER BY PHONE OR FAX:To order by phone, call (310) 832-8342, Monday-Saturday from 9:30 AM to 6:00 PM.
FAX us your order at (310) 832-1410.
MERCHANDISE RETURN INSTRUCTIONS:If you wish to exchange or return merchandise, you may bring
the garment into our store, or we can accommodate you through the mail (UPS).
METHODS OF PAYMENT:We accept cash, scrip checks and all major credit cards
DIRECTIONS TO NORMAN�S: SUB-TOTAL: $ _________________Take PVDN to Western. Turn right to First Street.
Left on First Street. Right on Gaffey Street. Turn left at Sixth Street. SHIPPING: $ _________________
Travel four blocks. We are on the right side of the street (below Mesa). TAX: $ _________________
TOTAL $ _________________
Green Mesh Shorts
Crewneck SweatshirtPolarfleece 1/4 Zip
Grey P.E. Shirts
SAINT JOHN FISHER SCHOOL NAME ______________________________ STUDENT __________________________________ GRADE ________ Address ___________________________________________ City __________________________ Zip ____________ Phone: Day (_____) _________________ Home (____) _________________ Date:_________2017/18
BOY'S TK-8BOY'S SHORT SLEEVE BOY'S LONG SLEEVE BOY'S PANTS
KNIT POLO (With Embroidered Logo) KNIT POLO (With Embroidered Logo) Grades K-8Grades TK-8 COLORS: Grades TK-8 COLORS: COLORS:
Green Green KhakiWhite White
SIZES & PRICES SIZES & PRICES Flat Front Pants 4-5-6-7 $23.99 x____ = $_________
5/6,7/8,10/12, $19.99 x____ = $_________ 5/6,7/8,10/12, $22.99 x____ = $_______ 8-10-12-14-16 $26.99 x____ = $_________ 14/16, 18/20 $19.99 x____ = $_________ 14/16, 18/20 $22.99 x____ = $_______ 29-38 $33.99 x____ = $_________
Pleated Pants Adult S-M-L-XL $22.99 x____ = $_________ Adult S-M-L-XL $25.99 x____ = $_______ 4-5-6-7 $21.99 x____ = $_________ Adult XXL-XXXL $24.99 x____ = $_________ Adult XXL-XXXL $26.99 x____ = $_______ 8-10-12-14-16 $23.99 x____ = $_________
29-38 $29.99 x____ = $_________
BOY'S PLEATED SHORT BOY'S FLAT FRONT SHORT BOY'S SURF PLAID SHORTGrades K-8 COLORS:
Khaki COLORS: COLORS:Khaki Grey with Black Stripe
SIZES & PRICES SIZES & PRICES SIZES & PRICES
8-10-12-14-16 $37.99 x____ = $______ 4-5-6-7 $19.99 x____ = $_______ 4-5-6-7 $21.99 x____ = $______ Adult 27-28-29-30 $39.99 x____ = $______ 8-10-12-14-16 $19.99 x____ = $_______ 8-10-12-14-16 $23.99 x____ = $______ 32-34-36-38-40-42 $39.99 x____ = $______ Husky 29-38 $25.99 x____ = $______ Adult 27"- 38" $27.99 x____ = $______Adult 27"- 38" $25.99 x____ = $______
BOY'S PULL ON PANT BOY'S TACKLE TWILL SWEATSHIRT BOY'S NYLON HOODED JACKETBOY'S PULL ON SHORT (With Embroidered Logo) (With Embroidered Logo)
TK-K Grades K-8 COLORS: Grades K-8 COLORS:COLORS: Russell Dark Green Black
Khaki Black Green
SIZES & PRICES
Child 2-3-4-5-6-7 $16.99 x____ = $_________ Child S-M-L $34.99 x____ = $________ Child XS-S-M-L-XL $49.99 x____ = $_________ Adult S-M-L-XL $39.99 x____ = $________ Adult S-M-L-XL $55.00 x____ = $_________
Child 2-3-4-5-6-7 $19.99 x____ = $_________ Adult 2XL $42.99 x____ = $________ Adult 2XL-3XL $58.00 x____ = $_________
Grades K-8
Flat Front Short Regular or Slim Sizes
Pull on Shorts Crewneck Sweatshirt SIZES & PRICES
Grades 2-8
Pull on Pants
Pleated Short Regular or Slim Sizes
Phone Orders: (310) 832-8342 NORMAN'S UNIFORMSFAX Orders: (310) 832-1410 371 W. 6th Street. San Pedro, CA 90731Internet: www.normansuniforms.com / School Code #5446
BOY'S V-NECK SWEATER BOY'S POLAR FLEECE BOY'S TRACK JACKETBOY'S BLACK VEST 1/4 ZIP JACKET (With Embroidered Logo)
(With Embroidered Logo) Grades TK-8 COLORS: Grades K-8 COLORS:Grades TK-8 COLORS: Hunter Green Green Track Jacket
Black
V-Neck Sweater Child 5/6 - 18/20 $29.99 x____ = $___________ SIZES & PRICES Adult S-M-L-XL $35.99 x____ = $___________
Vest Child XS-S-M-L $39.99 x____ = $_______ Child S-M-L $55.00 x____ = $________ Child 5/6 - 18/20 $29.99 x____ = $___________ Adult S-M-L-XL $45.00 x____ = $_______ A XS-S-M-L-XL $59.99 x____ = $________ Adult S-M-L-XL $29.99 x____ = $___________
BOY'S TRACK PANT BOY'S P.E. ITEMS BOY'S SOCKSGrades K-8 Grades K-8 BOY'S BELTS
COLORS: Grades K-8Black COLORS:
Khaki StretchBlack LeatherWhite Socks
Child S-M-L $8.99 x____ = $_______Adult S-M-L-XL $9.99 x____ = $_______Adult 2XL-3XL $10.99 x____ = $______
SIZES & PRICES Khaki Stretch $9.99 x____ = $__________ Black Leather $18.00 x____ = $_________
Child S-M-L $27.99 x____ = $_________ Child S-M-L $13.99 x____ = $_______ Waist Sizes 20"- 38"Adult S-M-L-XL $29.99 x____ = $_________ Adult S-M-L-XL $14.99 x____ = $_______Adult 2XL-3XL $32.99 x____ = $________ S-M-L $7.99 x____ = $_________
Sold in packages of 6 only.
TO ORDER BY PHONE OR FAX:To order by phone, call (310) 832-8342, Monday-Saturday from 9:30 AM to 6:00 PM.
FAX us your order at (310) 832-1410.
MERCHANDISE RETURN INSTRUCTIONS:If you wish to exchange or return merchandise, you may bring
the garment into our store, or we can accommodate you through the mail (UPS).
METHODS OF PAYMENT:We accept cash, scrip checks and all major credit cards
DIRECTIONS TO NORMAN�S: SUB-TOTAL: $ _____________Take PVDN to Western. Turn right to First Street.
Left on First Street. Right on Gaffey Street. Turn left at Sixth Street. SHIPPING: $ _____________
Travel four blocks. We are on the right side of the street (below Mesa). TAX: $ _____________
TOTAL $ ___________
Green Mesh Shorts
Grey P.E. Shirts
White Socks
Belts
SIZES & PRICES
ST. JOHN FISHER SCHOOL
5446CRESTROADRANCHOPALOSVERDES
CA90275
310-377-2800(phone)310-377-3863(fax)
www.sjfpv.org
APPLICATION PROCEDURE
1. Obtain an application packet from the school office. The application fee is $80.00.
2. Return the packet to the school office on or before February 19, 2019 with:
• $80.00non-refundableapplicationfee• BirthCertificate • BaptismalCertificate • Copiesoflasttwoyearsreportcardorpre-schoolevaluation • Applicationform,withallspacescompleted • Mostrecentstandardizedtestresults(ifapplicable) • CurrentSchoolRecommendationForm(tobereturnedtotheschoolofficeby
February 22, 2019) 3. Testing for Kindergarten admission will take place on the following days:
v Saturday,March2,2019 11am–2:00pm
You will receive an appointment time for testing after application packets are returned to the school office.
1. Testing for Grade 1-8 admission will take place on: Friday, March 1, 2019 at 3:00 p.m.
Acceptance notifications will be mailed by Monday, March 11, 2019.
St. John Fisher School 5446 Crest Road
Rancho Palos Verdes, CA 90275 310-377-2800 (phone)
310-377-3863 (fax) Please return the completed form (one per child) to the School Office along with the application fee of $80.
Family
Photograph
Please clip here
New Family Application for Admission 2019-2020
Last Name First/Middle Name Grade Entering
Birthdate Birthplace
Baptism Date Church Name & Address
First Communion Date Church Name & Address
Home Telephone Home Address
Current School School Address School Phone #
Student Information
Ethnic Origin Needed for Census (circle one):
American Indian Asian White Hispanic African American Filipino Hawaiian
M/F
Please indicate why you want your child to attend St. John Fisher School and your current school/parish involvement:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Mother’s First Name Maiden Name Last Name
Birthplace Religion Occupation
Marital Status Home Address Email Address
Home Telephone Cell Phone Work Telephone
Father’s First Name Middle Name Last Name
Birthplace Religion Occupation
Marital Status Home Address Email Address
Home Telephone Cell Phone Work Telephone
Parent Signature:___________________________________________________Date:_________________________
St. John Fisher School 5446 Crest Rd.
Rancho Palos Verdes, CA 90275 Phone: 310-377-2800 Fax: 310-377-3863
School Recommendation Form Gr. 1-8
Name of Applicant Grade entering This child is seeking admission to St. John Fisher School. We would appreciate your observations about the areas listed below. Your candid estimate of the applicant will be of invaluable assistance to our Principal and will not be released to anyone. All recommendations are kept strictly confidential.
1 2 3 4 Rating Comments
ACADEMIC
ABILITY
Poor Academic Risk/Marginal
Ability
Capable of Satisfactory
Work
Fine
Student
Superior
INDEPENDENT
WORK & STUDY HABITS
Weak/
Unsatisfactory
Average
Well
Above Average
Excellent
CONDUCT & INTEGRITY
Weak or
Questionable
Good or
Acceptable
Generally Excellent
Outstanding
In Every Respect
ATTENTIVENESS
TO TASK
Rarely/Never
Usually
Almost Always
Always
MOTIVATION
Weak/Poor
Average
Well
Above Average
Excellent
ATTITUDE &
COOPERATION
Less than
Satisfactory
Satisfactory
Generally Excellent
Outstanding
SOCIAL SKILLS
Circle One: Isolated Little Interaction Somewhat Aggressive Overly Aggressive
Average Skills
Cooperates With Peers
Positive Leadership
MATURITY &
STABILITY
Below Expected Level
Average For Age
Well Above Average
Excellent
1. Does the candidate have any outstanding abilities or deficiencies not covered by the above categories? Yes No
Explanation:
2. Does the candidate have any significant limitations that affect school performance?
Yes No
Explanation:
3. Has the student ever been referred to a school office for disciplinary action? Yes No
Explanation:
I recommend this student for admission:
Academic Achievement: Enthusiastically Confidently
With reservation Do not recommend_____ Character & Personal Qualities: Enthusiastically Confidently_______
With reservation Do not recommend ___ Signature: Title: Printed Name (Mr. Mrs. Ms. Miss Dr.) In what capacity do you know this student? School Area Code & Phone number School Address City State Zip Code
Additional Comments:___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________ The parents of this child gave permission for us to receive your recommendation. Parent/Guardian Signature Date
This form must be returned to the school office by February 22, 2019
ST. JOHN FISHER SCHOOL
5446CRESTROADRANCHOPALOSVERDES,CA90275
310-377-2800(phone)310-377-3863(fax)sjfpv.org
Dear Pre-school Teacher,
OneofyourcurrentstudentshasappliedforadmissiontoSt.JohnFisherSchool’sKindergartenforthe2019-20schoolyear.Werequestyourhelpinourenrollmentprocess.PleasecompletetheattachedStudentEvaluationformandmailorfaxitbacktoSt.JohnFisherSchoolbyFebruary22,2019,sothatwemayprocessthisprospectivestudent’sapplicationinatimelymanner.OurcurrentKindergartenteacherwillconductanadditionalone-on-onereadinessevaluationintheclassroom.Theresultsofthistest,alongwithallofthecompletedforms,willhelpdeterminehowpreparedthestudentisforKindergarten.Allinformationisconsideredconfidentialandwillremaininthestudentspermanentfile.Thankyouforyourpromptresponse.Sincerely,Mrs.Anne-MarieHudaniPrincipal
**Parents-Pleasebringthisformtoyourchild’spreschool-Thankyou**
Student Evaluation Form
Student:_________________________________________________________________
Pre-School/Nursery School:_________________________________________________
Evaluator:___________________________________Position:_____________________
How long have you known this student?______________________
How long has this student been enrolled at your program?______________________
Emotional Development Has this child had any repeated problems for an extended period of time?
o Yes o No If yes, please explain________________________________________________
Can this child sit still for a short period of time to listen to a story, do a simple task, etc… oYes o Not at this time.
How well does this child react when plans change? q Becomes upset q Cries easily q Accepts change without becoming upset
Does the child tire easily? Seem overly restless or fidgety? o Yes o Sometimes o Seldom o Not at all
Child accepts consequences without tantrums and can regroup to proceed with the day o Yes o No
Is child easily distracted? o Yes o No
Does the child cling to mom/dad/guardian/teacher? o Yes o No
Self Help Skills Can this child dress him/herself (i.e. buttons, zippers, snaps, laces, etc…)? o Yes o Yes with a little help o Mostly needs help
Can the child take care of his own belongings (i.e. lunchboxes, coats, backpacks, etc…)? o Yes o No
Can the child take care of his/her own bathroom needs? o Yes o Most of the time oNeeds a little help o No
Social Skills and Behaviors Is the child able to easily share things such as toy, pencils, crayons, etc…? o Yes o No
Does the child remember to use good manners(i.e. please, thank you, excuse me, etc…)? o Yes o No
Does the child seem to play and work cooperatively with others? o Most of the time o Some of the time o has difficulty
Child waits his/her turn to speak in a group? o Yes o No
School Skills Does the child obey classroom, school, and playground rules? o Yes o No
Can the child follow a: Single direction? o Yes o No Two part direction? o Yes o No Three part direction? o Yes o No
Does the child know his/her first and last name? o Yes o No
Does this child show an interest in learning? o high interest o average interest o little interest
Can this student work independently? o Yes o Has difficulty
Does this child use materials (i.e. scissors, crayons, glue, pencils, ) appropriately? o Yes o No
Does the child know the name of four or more colors? o Yes o No
Which numbers does the child recognize?______________________________________
Which uppercase letters does the child recognize?________________________________
Which lowercase letters does the child recognize?________________________________
Does this child seem academically ready for kindergarten? o Yes o No
Does this child seem emotionally ready for kindergarten? o Yes o No Please use the space below to provide any further information you feel is pertinent in considering this child for kindergarten. Comments:______________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
State of California Health and Human Services Agency Department of Health Care Services Child Health and Disability Prevention (CHDP) Program
If your child is unable to get the school health check-up, call the Child Health and Disability Prevention (CHDP) Program in your local health department. If you do not want your child to have a health check-up, you may sign the waiver for
PM 171 A (09/07) (Bilingual) CHDP website: www.dhcs.ca.gov/services/chdp
REPORT OF HEALTH EXAMINATION FOR SCHOOL ENTRY To protect the health of children, California law requires a health examination on school entry. Please have this report filled out by a health examiner and return it to the school. The school will keep and maintain it as confidential information.
PART I TO BE FILLED OUT BY A PARENT OR GUARDIAN CH Last First Middle BIRTH DATE Month/Day/Year
ADDRESS Number, Street City ZIP code SCHOOL
PART II TO BE FILLED OUT BY HEALTH EXAMINER HEALTH EXAMINATION IMMUNIZATION RECORD NOTE: All tests and evaluations except the blood lead test must be done after the child is 4 years and 3 months of age.
Note to Examiner: Please give the family a completed or updated yellow California Immunization Record. Note to School: Please record immunization dates on the blue California School Immunization Record (PM 286).
REQUIRED TESTS/EVALUATIONS DATE (mm/dd/yy)
VACCINE DATE EACH DOSE WAS GIVEN
First Second Third Fourth Fifth
POLIO (OPV or IPV) DtaP/DTP/DT/Td (diphtheria, tetanus, and [acellular] pertussis) OR (tetanus and diphtheria only)
MMR (measles, mumps, and rubella) HIB MENINGITIS (Haemophilus Influenzae B) (Required for child care/preschool only)
HEPATITIS B
VARICELLA (Chickenpox)
OTHER (e.g., TB Test, if indicated)
OTHER
Health History ______/______/______ Physical Examination ______/______/______
Dental Assessment ______/______/______ Nutritional Assessment ______/______/______
Developmental Assessment ______/______/______ Vision Screening ______/______/______ Audiometric (hearing) Screening ______/______/______ TB Risk Assessment and Test, if indicated ______/______/______ Blood Test (for anemia) ______/______/______ Urine Test ______/______/______ Blood Lead Test ______/______/______ Other ______/______/______
PART III ADDITIONAL INFORMATION FROM HEALTH EXAMINER (optional) and RELEASE OF HEALTH INFORMATION BY PARENT OR GUARDIAN
RESULTS AND RECOMMENDATIONS Fill out if patient or guardian has signed the release of health information.
Examination shows no condition of concern to school program activities.
Conditions found in the examination or after further evaluation that are of importance to schooling or physical activity are: (please explain)
I give permission for the health examiner to share the additional information about the health check-up with the school as explained in Part III.
Please check this box if you do not want the health examiner to fill out Part III.
Signature of parent or guardian Date
Name, address, and telephone number of health examiner
Signature of health examiner Date
State of California Health and Human Services Agency Department of Health Services Child Health and Disability Prevention (CHDP) Program
Si su niño o niña no puede obtener el examen de salud llame al Programa de Salud para la Prevención de Incapacidades de Niños y Jovenes (Child Health and Disability Prevention Program) en su departamento de salud local. Si Ud. no desea que su niño(a) tenga un examen de salud, puede firmar la orden (PM 171 B), formulario que se consigue en la escuela de su niño(a).
CHDP website: www.dhcs.ca.gov/services/chdp PM 171 A (3/03) (Bilingual)
INFORME DEL EXAMEN DE SALUD PARA EL INGRESO A LA ESCUELA Para proteger la salud de los niños, la ley de California exige que antes de ingresar a la escuela todos los niños tengan un examen médico de salud. Por favor, pidale al examinador de salud que llene este informe y entregelo a la escuela este informe sera archivado por la escuela en forma confidencial.
PARTE I PARA SER LLENADO POR EL PADRE/LA MADRE O EL GUARDIÁN NOMBRE DEL NIÑO/NIÑA Apellido Primer Nombre Segundo Nombre FECHA DE NACIMIENTO Mes/Día/Año
DOMICILIO Número y Calle Ciudad Zona Postal Escuela
PARTE II PARA SER LLENADO POR EL EXAMINADOR DE SALUD EXAMEN DE SALUD REGISTRO DE INMUNIZACIONES AVISO: Todas las pruebas y evaluaciones excepto el análisis de sangre para el plomo deben ser hechas después de la edad de 4 años y 3 meses.
Aviso al Examinador: Por favor dé a la familia, una vez completado, o a la fecha, el Registro de Inmunización de California en papel amarillo. Aviso a la Escuela: Por favor apunte las fechas de inmunización sobre el Registro de Inmunización de la escuela de California en papel azul.
PRUEBAS Y EVALUACIONES REQUERIDAS FECHA(mm/dd/aa)
VACUNA FECHA EN QUE CADA DOSIS FUE DADA
Primero Segundo Tercero Quarto Quinto POLIO (OPV o IPV) DTaP/DTP/DT/Td (difteria, tétano y [acellular] pertusis [tos ferina]) O (tétano y difteria solamente)
MMR (sarampión, paperas, rubéola) HIB MENINGITIS (Hemófilo, Tipo B) (Requerida para centros de cuidado para niños y centros preescolares solamente)
HEPATITIS B VARICELLA (Viruelas locas)
OTRA (e.g. prueba TB, de ser indicado)
OTRA
Historia de Salud ______/______/______
Examen Físico ______/______/______
Evaluación de Dientes ______/______/______
Evaluación de Nutrición ______/______/______
Evaluación del Desarrollo ______/______/______
Pruebas Visuales ______/______/______ Pruebas con Audiómetro (auditivas) ______/______/______ Evaluacion de Riesgo y prueba Tuberculosis* ______/______/______ Análisis de Sangre (para anemia) ______/______/______ Análisis de Orina ______/______/______ Análisis de Sangre para el plomo ______/______/______ Otra ______/______/______
PARTE III INFORMACIÓN ADICIONAL DEL EXAMINADOR DE SALUD (optional) y PERMISO PARA DIVULGAR (DISTRIBUIR) EL INFORME DE SALUD RESULTADOS Y RECOMENDACIONES Llene esta parte si el padre/la madre o el guardián ha firmado el consentimiento para divulgar (distribuir) la información de salud de su niño/niña.
El examen reveló que no hay condiciones que conciernen las actividades de los programas escolares.
Las condiciones encontradas en el examen o después de una evaluación posterior que son de importancia para la actividad escolar o física son: (por favor explique)
Yo le doy permiso al examinador de salud para que comparta con la escuela la información adicional de este examen como es explicado en la Parte III.
Por favor marque esta caja si Ud. no desea que el examinador llene la Parte III.
Firma del padre/madre o guardián Fecha
*de ser indicado
Firma del examinador de salud Fecha
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