Tuition Agreement – International Students If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required 2020 - 2021 Registration Form International Students Student Information How many students are you registering? * 1 2 3 4 First Name * Last Name * Student ID * Grade Entering * 9 10 11 12 First Name Last Name Student ID Grade Entering 9 10 11 12 First Name Last Name Student ID Grade Entering 9 10 11 12 First Name Last Name Student ID Grade Entering 9 10 11 12 Parent/Guardian Information First Name * Last Name * Email * Home Phone * Cell Phone * Street * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Check box if you are interested in carpooling option within your zip code area Tuition Schedule - International The $5,000 Tuition Deposit is non-refundable, and is required of each student for the purpose of enrollment. Future tuition payments are non-refundable, and required to be submitted via SMART at www.enrollwithsmart.com. *A returned payment fee will be assessed for failed payment submissions. Due Date Annual Plan Tuition Deposit Within four weeks of acceptance $5000 Tuition 7/1/2020 $30,210 Total Tuition $35,210 Your Donation Donation Options * I would like to make a one-time donation.I would like to make a recurring donation.I am unable to make a donation at this time. Donation Amount Paid Every 1 month 3 months 6 months 12 months Paid on the 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th Last day of month Starting January February March April May June July August September October November December Starting Year 2019 2020 Paid Until A fixed number of payments A specific date Number of Payments * Ending January February March April May June July August September October November December Ending Year 2019 2020 2021 2022 Number of Payments Amount per Payment Frequency Gift Total 12 $0.00 1 month $0 Make your gift go even further! Check to see if your employer will match your gift. Find My Company. I will submit a matching gift from my employer. Options Joint Gift with my SpouseI Wish to Remain Anonymous Preferred Email * PersonalBusiness Email * How would you like your name to be recognized? Payment Information Payment Method: Credit CardeCheck Bank Name: * Account Type: Personal Business First Name * Last Name * Company Name Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Timor-Leste (East Timor) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia, South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Phone Email Card Number CVC Expiration date 010203040506070809101112 202120222023202420252026202720282029203020312032203320342035203620372038203920402041 Bank Routing Number Checking Account Number By clicking the submit button, you authorize Cathedral Catholic High School to use information from your check to initiate a one-time fund transfer from your account or to process the payment as a check transaction or bank drawn draft from your account. If your payment is returned due to insufficient funds, you authorize us to make a one-time electronic funds transfer or to use a bank draft drawn from your account to collect a fee as allowed by state law. Agreement I, the undersigned, enroll the student named on this agreement in Cathedral Catholic High School for the 2020-2021 academic school year. I have read the entire agreement and agree to comply with its terms, including payment of the applicable tuition described herein. Furthermore, I understand that the student and parent/s/guardian/s must comply with school regulations and policies. I also understand that failure to comply with the terms of this agreement may be sufficient cause for dismissal of the student from Cathedral Catholic High School. I acknowledge that I am responsible for submitting this agreement, the $5,000 non-refundable tuition deposit, and setting up a SMART account, in order for the student named on this agreement to be officially registered. I acknowledge that the remaining tuition balance of $30,210 is due and payable in full no later than 7/1/2020, and that it is non-refundable. Parent/Guardian Signature * Entering your name in the above field acts as your signature, signifying your agreement with said Tuition and Fees Agreement. Total Amount:
