Enrollment Form

Tuition Reduction Incentive Program

St. Joseph School

PLEASE PRINT THE FOLLOWING INFORMATION: ACCOUNT #

/

Full name of parent(s) or guardian(s) Daytime Phone Home Phone

Address City State Zip

All Credits accumulated in the program should be credited to:

My tuition account St. Joseph School general fund

Or

General tuition assistance for the benefit of a needy student

**********************************************************************************************************

METHOD OF PICK UP (Check either or both)

The above named persons only may pick up certificates.

I authorize another St. Joseph parent to sign for and pick up my certificates.

I understand that St. Joseph School is in no way responsible for missing or lost certificates.

**************************************************************************************************************

PLEASE NOTE: Although students may bring in orders to school absolutely no

Certificates will be sent home with a St. Joseph Student.

I (we) have read, understand, and will abide by the general policies of the T.R.I.P Program.

Signature Date