2025-2026 Registration

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Step 1 of 4

25%

Registration for the 2025-2026 School Year

Start Date: September 2, 2025
End Date: June 19, 2026
10 Months

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Number of Students * Required

Student Information & Release Form

Personal information is collected and retained for purposes of providing educational services as dictated by the Government of Ontario, the Education Act, and/or the Ontario Ministry of Education and will be used for the establishment and maintenance of the Ontario Student Record in accordance with the (OSR) Guideline2000. Access to OSR Records may be obtained by contacting the Director of Schools. All information is solely for the use of SJSH and will not be provided, without written release, to any person or agency unless it is to provide educational services, as determined by the Government of Ontario, the Education Act, and/or the Ontario Ministry of Education, for a student who was or is presently registered at SJSH.

Success at SJSH is contingent upon five assumptions. First, that a student’s parents have accurately and completely informed and provided SJSH with all the information and documentation regarding the student. Second, that a student is intellectually and academically capable of achieving in a grade appropriate program. Third, that a student strives to improve beyond the academic levels identified at admission. Fourth that a student continues to meet the school’s “Standards of Good Conduct and Teachability”. Finally, that a student’s parents continue to support and promote the philosophies, policies, staff and decisions of SJSH. Some of the indicators of a student’s and parents’ continuing desire of success at SJSH is adherence to the school’s “Standards of Conduct and Teachability” including good attendance and punctuality, respect for authority, respect for self and others, respect for public and private property, adherence to the rules of the school, adherence to the laws, compliance with the consequences of rules not followed, honesty, positive attitude towards one’s own learning, a daily commitment to achieve to one’s potential, respecting the rights and freedom of others. Some reasons why success at SJSH would be jeopardized and/or enrollment discontinued include, but are not limited to, the negative of the aforementioned assumptions and indicators, tardiness, absenteeism, breaking the law, negatively affecting the public good will and reputation of the school, threatening or endangering the physical or emotional well being of another person, refusal to comply with academic or behavioural expectations, attitude, verbal or nonverbal disrespect, interference with the general ability of others to benefit from the school, negative influence upon other’s attitudes or efforts, smoking, or continuing inappropriate behaviour. All of the above indicators shall be solely at the SJSH’s Director’s definition. These “Standards of Conduct and Teachability” and its implementation are described in detail in various other parent and student information, which we acknowledge is a condition of this registration and continued enrollment.

Student 1 – Name * Required

First Last

Student 1 – Date of Birth * Required

MM slash DD slash YYYY

Student 1 – Grade Entering * Required

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Student 1 – Tuition Code

Student 1 – Previous School

Student 1 – Last grade enrolled in at previous school * Required

Student 1 – OHIP Card Number * Required

Student 1 – Doctor * Required

Student 1 – Doctor's Telephone Number * Required

Student 1 – Medical Concerns? * Required

Yes

Student 1 – Medical Concerns * Required

Student 1 – Medication? * Required

Yes

Student 1 – Medication * Required

Student 1 – Allergies? * Required

Yes

Student 1 – Allergies * Required

Student 1 – After School Supervision? * Required

Yes

Student 2 – Name * Required

First Last

Student 2 – Date of Birth * Required

MM slash DD slash YYYY

Student 2 – Grade Entering * Required

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Student 2 – Tuition Code

Student 2 – Previous School

Student 2 – Last grade enrolled in at previous school * Required

Student 2 – OHIP Card Number * Required

Doctor's Info

This student has the same doctor’s info as Student 1

This student has a different doctor

Student 2 – Doctor * Required

Student 2 – Doctor's Telephone Number * Required

Student 2 – Medical Concerns? * Required

Yes

Student 2 – Medical Concerns * Required

Student 2 – Medication? * Required

Yes

Student 2 – Medication * Required

Student 2 – Allergies? * Required

Yes

Student 2 – Allergies * Required

Student 2 – After School Supervision? * Required

Yes

Student 3 – Name * Required

First Last

Student 3 – Date of Birth * Required

MM slash DD slash YYYY

Student 3 – Grade Entering * Required

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Student 3 – Tuition Code

Student 3 – Previous School

Student 3 – Last grade enrolled in at previous school * Required

Student 3 – OHIP Card Number * Required

Doctor's Info

This student has the same doctor’s info as Student 1

This student has a different doctor

Student 3 – Doctor * Required

Student 3 – Doctor's Telephone Number * Required

Student 3 – Medical Concerns? * Required

Yes

Student 3 – Medical Concerns * Required

Student 3 – Medication? * Required

Yes

Student 3 – Medication * Required

Student 3 – Allergies? * Required

Yes

Student 3 – Allergies * Required

Student 3 – After School Supervision? * Required

Yes

Student 4 – Name * Required

First Last

Student 4 – Date of Birth * Required

MM slash DD slash YYYY

Student 4 – Grade Entering * Required

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Student 4 – Tuition Code

Student 4 – Previous School

Student 4 – Last grade enrolled in at previous school * Required

Student 4 – OHIP Card Number * Required

Doctor's Info

This student has the same doctor’s info as Student 1

This student has a different doctor

Student 4 – Doctor * Required

Student 4 – Doctor's Telephone Number * Required

Student 4 – Medical Concerns? * Required

Yes

Student 4 – Medical Concerns * Required

Student 4 – Medication? * Required

Yes

Student 4 – Medication * Required

Student 4 – Allergies? * Required

Yes

Student 4 – Allergies * Required

Student 4 – After School Supervision? * Required

Yes

MEDICAL LIABILITY RELEASE & CONSENT AUTHORIZATION TO THE TREATMENT OF A MINOR & ADMINISTRATION OF MEDICATION TO A MINOR:

I/We, as the undersigned parent(s)/guardian of the student(s) listed above a minor(s), DO HEREBY ABSOLVE AND RELEASE SJSH AND ITS DESIGNATED REPRESENTATIVES FROM FULL LIABILITY FOR PHYSICAL INJURIES AND MEDICAL EMERGENCIES and do hereby authorize SJSH or its designated representative, as agents for the undersigned, to consent to any and all necessary, immediate medical or surgical treatment deemed advisable by a physician or surgeon licensed under the provisions of the Medical Practice Act of Ontario. In this event, I/We agree to pay all costs incurred which may not be covered by The Ontario Health Plan or by my/our other medical insurance policy. I/We, as the undersigned parent(s)/guardian of the above stated minor, do hereby authorize SJSH or its designate to administer the above stated medication as prescribed by his/her physician, or other, over the counter, medication as I/We might supply.

Protecting the privacy and the confidentiality of personal information has always been fundamental to the way SJSH conducts its affairs. I/we give consent for my/our child to participate in all school and school related activities on or off the school’s property. I/we give consent for my/our child to use the internet, for educational purposes, as allowed/directed by the school. I/we consent to the transfer of the Ontario School Record (OSR) to and from SJSH. I/We consent to the transfer of other pertinent information to SJSH by others knowledgeable of my/our child. I/we also consent to the transfer of information from SJSH to others who would require information as a result of a professional relationship with my/our child.

I/we consent and give my/our permission for the use my/our first name and initial and/or my/our child’s first name and initial: still or live image; real time Nd recorded school activities; and photographs in school newsletters, yearbooks, promotional materials including printed materials, video, online education, internet, radio, TV and SJSH’s web site, and the display of student work in the classroom, at Science Fairs, in School publications, and during other School-related activities.

I/we have provided this e-mail address by which SJSH is granted permission to use for the communication of our child’s personal academic information including my child’s report cards and/or any school news, information, and announcements.

Signature (Primary Contact Parent) * Required

Signature (Second Parent)

Summary of tuition and payments

Tuition – Student 1

Price:

Code: A1

Tuition – Student 1

Price:

Code: B1

Tuition – Student 1

Price:

Code: C1

Tuition – Student 1

Price:

Code: D1

Tuition – Student 1

Price:

Code: E1

Tuition – Student 2

Price:

Code: A2

Tuition – Student 2

Price:

Code: B2

Tuition – Student 2

Price:

Code: C2

Tuition – Student 2

Price:

Code: D2

Tuition – Student 2

Price:

Code: E2

Tuition – Student 3

Price:

Code: A3

Tuition – Student 3

Price:

Code: B3

Tuition – Student 3

Price:

Code: C3

Tuition – Student 3

Price:

Code: D3

Tuition – Student 4

Price:

Code: A4

Tuition – Student 4

Price:

Code: B4

Tuition – Student 4

Price:

Code: C4

Tuition – Student 4

Price:

Code: D4

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Total Tuition

After School Supervision

Summary of After School Supervision costs:

After School Supervision

1st student

Price:

After School Supervision

2nd student

Price:

After School Supervision

3rd student

Price:

After School Supervision

4th student

Price:

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After School Supervision Total

Fee Summary

Total (Balance Owing)

Tuition plus after school supervision (if selected)

Non-Refundable Tuition Deposit

15% of total balance owing

Balance Due After Deposit

Total Tuition minus 15% deposit

Monthly Payment Amount

Balance due after deposit divided by 12 months. Payment begins May 1st, 2025

Tuition is non-refundable as of date indicated:

As of May 1, 2025

As of June 1, 2025

As of July 1, 2025

As of Aug 1, 2025

As of Sept 1, 2025

As of Oct 1, 2025

As of Nov 1, 2025

As of Dec 1, 2025

As of Jan 1, 2026

As of Feb 1, 2026

As of Mar 1, 2026

Registration is not complete until SJSH has received . . .

A copy of the student’s last report card; and
A copy of any previous IEP / assessment / diagnosis (academic, psycho-educational, medical, etc.); and
(if applicable) the high school’s transcript; and
A copy of each child’s birth certificate; and
A fully completed registration contract duly signed and dated by both parents; and
A completed SJSH information form; and
A completed PAD agreement for automatic bank withdrawals or credit card payments (+ 2%) and thereafter beginning 01-05-2025 and continuing the next 11 consecutive months ending 01-04-2026 and
A copy of a void cheque or complete credit card information (2% fee will be added to each transaction); and
An e-transfer of 15% of the tuition fees which is totally non-refundable upon receipt.

Notice of Withdrawal Policy

Notice of withdrawal must be provided in writing. Notice must provide SJSH, not less than, one calendar month’s notice of withdrawal. Receipt of written notice (letter or e-mail), is as of the date which the Director or Principal of SJSH personally receives the notice, not the date the letter was posted or the date the e-mail was sent. Date of Notice of Withdrawal or post mark date or date of delivery to a person other than the Director/Principal, does not constitute receipt of written notice u000bby the Director/ Principal. At no time will a telephone message or phone call, fax and/or any verbal communication with the Director, Principal or any other person, be accepted or acknowledged as written notice and/or constitute receipt of written notice. As of the date of receipt of Notice of Withdrawal by the Principal of SJSH, the present month’s payment and the next month’s full payment is due, payable and totally non-refundable. Non-attendance without a Notice of Withdrawal will be recorded as absenteeism. SJSH reserves the right to expel or to revoke a student’s registration without any notice and without any refund.

Refund / Reduction of Obligation Policy

As of registration, the deposit, equal to 15% of the total fees, is totally non-refundable. As of the 1st of May 2025, the first and the last payment, are both due, payable and totally non-refundable. Thereafter, every consecutive 1st-of-the-month payment is also is due, payable and totally non-refundable. With the knowledge, understanding and agreement of these aforementioned conditions, Written Notice must be provided with at least one calendar month’s notice. Upon receipt Notice of Withdrawal any balance owed to SJSH will be immediately due and payable and will be subject to a one percent (1%) per month interest rate. Any balance owed to parents will be repaid, without interest, by June 30th 2026

Herein this Contract/Policy, no refund of any amount paid or no reduction of any unpaid balance owed or reduction of obligation will be granted, for any reason, including but not limited to absenteeism, illness, suspension, withdrawal, expulsion, reduction of instructional time, implementation of any instructional alternatives, instructional disruption, changed (early or delayed) Start Date, changed (early or delayed) End Date, or school closure. Event(s) beyond SJSH’s control, may limit total number of instructional days in this contract. SJSH reserves the right to expel a student, without prior notice, at any time, or for any reason(s), stated or implied, in SJSH’s Student Standards of Good Conduct/ Teachability, SJSH’s Student Order/Discipline Policy or SJSH’s Code of Behaviour.

Initials * Required

We have read and acknowledge this schedule of non-refundable payments and tuition withdrawal policy.

Parent Information

Primary Contact Parent * Required

First Name Last Name

Relationship to Student(s)

Mother

Father

Legal Guardian

Phone Number * Required

Email * Required

Address * Required

Street Address Address Line 2 City Province Postal Code Country

Business

Business Address

Business Phone

Second Parent

First Name Last Name

Relationship to Student(s)

Mother

Father

Legal Guardian

Secondary Address?

Same address as primary parent

Different address

Secondary Address * Required

Street Address Address Line 2 City Province Postal Code Country

Phone Number

Business

Business Address

Business Phone

Are children adopted? * Required

Yes

If yes, what age? If this answer is different for registering multiple students please explain.

Are parents divorced or separated? * Required

Yes

If yes, please provide details of custody

Is the child an international student? * Required

Yes

If yes, from where?

Please indicate where report cards and all other correspondence should be sent and if it is to be copied to the other parent, guardian. Also indicate where billing and receipts are to be directed. Please provide complete contact information.

Emergency Contact Information * Required

Emergency Contact Person's Name

Relationship to Student(s)

Emergency Contact's Telephone Number

Banking information for Pre-authorized debits

Account holder name * Required

Last and first name(s) of account holder(s)

Account Holder Address * Required

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Financial Institution * Required

Institution Number * Required

Always 3 digits

Transit Number * Required

Always 5 digits

Bank Account Number * Required

Minimum of 7 digits

Payee – Contact Information

Scholars’ Hall Inc. / St. Jude’s School Inc.
888 Trillium Drive, Kitchener ON
N2R 1K4
Email: principal@sjsh.ca
Phone: 519-888-6620

Withdrawal Authorization

I, the undersigned, (if a legal person, herein represented by its duly authorized representative(s)), authorize the Payee to make pre-authorized debits (PAD) from my account with the aforementioned financial institution, at the following interval: monthly, starting on the 1st day of May, 2025 and ending on the 1st day of April 2026

Each withdrawal will correspond to the total tuition plus any additional fees (less the deposit of 15%) divided by 12 payments (amount listed above under “monthly payment amount”).

Change or cancellation:

I shall inform the Payee, in a timely manner, of any changes to this Agreement.

I retain the right to revoke my authorization at any time, with a pre-notification of not less than 30 calendar days. To obtain a sample of the cancellation form or for more information on my right to cancel PAD Agreement, I may contact my financial institution or visit the Canadian Payments Association website at www.cdnpay.ca. I agree to release the financial institution of any liability if the revocation is not respected, except in the case of gross negligence on its part.

I agree that the financial institution at which I maintain the account is not required to verify that the payment is debited in accordance with this authorization. I also certify that every person whose signature is required for the operation of the aforementioned account has signed this authorization.

I acknowledge that the delivery of this authorization to the Payee constitutes delivery by me to the aforementioned financial institution.

Reimbursement

I have certain rights of recourse if a debit does not comply with the terms of this Agreement. For example, I have the right to receive reimbursement for any PAD this is not authorized or that is not compatible with the terms of this PAD Agreement. For more information on my rights of recourse, I may contact my financial institution or visit www.cdnpay.ca.

The financial institution shall reimburse me, on behalf of the organization, for any amounts withdrawn in error, within 90 calendar days or the withdrawal for a Personal PAD within 10 business days for a Business PAD, provided that the reimbursement is claimed for a valid reason.

I understand that a claim to this effect must be made to my financial institution following the procedure it will provide for that purpose.

Finally, I acknowledge that a claim for reimbursement filed after the aforementioned time limits must be settled between me and Payee, without any liability or commitment on the part of my financial institution.

Consent to disclosure of information * Required

I herby consent to the disclosure of the information contained in my pre-authorized debit enrolment agreement to the financial institution, provided such information is directly related to and required for the smooth application of the rules governing pre-authorized debits.

Signature of second account holder

(only if two signatures are required)

Void Cheque * Required

Accepted file types: jpg, png, heic, gif, pdg, Max. file size: 10 MB.

Please upload a void cheque for your account. Filename cannot have any special characters letters and numbers only.

Maximum file size – 10 mega bytes.

2025-2026 School Year Registration Contract

Contractual Conditions

I/We, the undersigned, acknowledge we can withdraw from this contract, according to conditions stated in SJSH’s Withdrawal/ Refund/Reduction of Obligation Policy and SJSH’s Notice of Withdrawal Policy. Fees and services additional to the total amount owed will be billed separately. Prior to the release of all reports; credits; or promotions, any balance owing of the total fees must be paid in full. At SJSH, all credits, marks, and/or promotions are earned only after balance owing is paid in full. As of the first day of classes, all children must be immunized (or exemption filed) and all dates of birth must be documented. Method of payment has no bearing on SJSH’s Withdrawal/Refund/Reduction of Obligation Policy.

Educational Calendar

SJSH’s school year has three semesters: Fall (September to December); Winter (January to April); and Spring (May and June). Each new school year begins after Labour Day and ends before June 30th of the next year. Number and frequency of instructional days and times, as announced by SJSH, are subject to change, at any time, without advance notice and is at the sole discretion and decision of SJSH. Any day not attended, whether or not as a result of a decision made by SJSH, will not be eligible for any refund. Weekends; statutory holidays; December Break, April Break; Summer Break; HeadStart School; Easter Monday and any other day(s) announced by SJSH are not instructional days . HeadStart School is a separate registration and tuition.

Educational Services

In compliance with the Ministry of Education’s Private Schools Policy and Procedures of 09.2013, SJSH provides day-schooling education and related services at the decision and discretion of SJSH without any guarantee. Students are registered in Scholars’ Hall or in St. Jude’s School. If as a result of SHSH’s initial or continual evaluation, a student’s placement may need to be changed to accommodate for services; time; expectations; adjustments; involvements, considerations; timetabling or scheduling and tuition for the balance of the schoolyear will be adjusted accordingly. Tuition at SJSH is for registration not for periods/credits/subjects taken or earned. At no time can or does SJSH offer any guarantee or assurance of a student’s success.

Accommodations

A Scholars’ Hall student achieves, in Scholars’ classes, at or above grade level without any modifications. Minor accommodations or modifications may be provided, for additional fees, as long as the Scholars’ Hall student continues to achieve at or above grade level and maintains acceptable in-class/in-school attendance. A child will be registered as a St. Jude’s School’s student when/if the child needs to attend a St. Jude’s class/classes; needs out-of-class/in-school/or more than minor accommodations and/or modifications. SJSH may provide a St. Jude’s School student, for additional fees, in-school accommodations. SJSH may also place a St. Jude’s School student, in a Scholars’ Hall class/classes, with in-class accommodations or modifications.

Administrative Involvement

Services outside of placement, will be billed separately i.e. 1) Administrative Time -printing; copying; letter writing; report card/ transcript reproduction; phone/email communications; extra student and/or parent meetings.2) Administrative Support -Code of Behaviour compliancy; needing time out; meeting; assisting; listening; talking; advising; calming; understanding; direction; and/or rest; opportunity for personal reflection and comfort.

Administrative Intervention

These services are not included in any placement and will be billed separately: non Code of Behaviour compliancy: office trip; disruptiveness, disrespectfulness, lack of classroom decorum as well as maintaining instructional control; teaching of methods of interaction; implementation of social interactional strategies; preparation for classroom re-entry; facilitating/creating interactional change; extra supervision; assisting with special and/or sensitive issues. Behaviour requiring administrative intervention is not part of SJSH’s mandate and could result in withdrawal of services. Physically aggressive, intimidating and or threatening behaviour will not be tolerated and may result in registration being revoked and/or expulsion. Upon receipt of a child’s OSR, if it includes an IEP, suspension(s), expulsion and/or a Safety Plan, the child’s placement at SJSH will be re-evaluated and/or registration may be revoked.

Student Placement

SJSH can re-assess Placement during the school year and revise tuition as necessary for the balance of the school year.

Grade 11 and 12 Mathematics and English Credit Policy

To protect and preserve SJSH’s graduates’ university acceptance opportunities, all students must take all their Grade 11 and 12 Math and English Credits in a regularly timetabled SJSH class. Any Grade 11 or 12 Math or English Credits taken outside of SJSH while registered or during a summer between SJSH school years, without SJSH’s prior written consent, will not be recognized for purposes of graduation by SJSH.

Operational Policies and Procedures

SJSH’s policy/procedures manual, available at the main office, includes SJSH’s Weather Policy; the SJSH’s Closure Policy; and SJSH’s winter, Salt-Free Policy. This manual and all other policies/procedures, i.e. Code of Behaviour, are an integral part of this registration contract. Familiarization with these policies and procedures is the responsibility of the undersigned.

SJSH’s Attendance Policy

The possibility of success at SJSH is predicated upon a student’s daily punctuality and attendance. It is solely the student’s parents’ responsibility to ensure their child’s daily punctually and attendance. Late to school and/or late to class is a form of absence and will also affect marks and school performance. When a student is absent from school/class, for any reason including but not limited to tardiness; illness; medical condition; appointments; anxiety, vacations; or even with parental permission, their opportunity for academic success and social integration comfort will be jeopardized. If time and resources permit with additional tuition and a willing student, SJSH may be able to modify the student’s timetable to mitigate effects of non-attendance. Even with these modifications, the student must still meet or exceed the Ontario Ministry of Education’s learning expectations to earn a credit/promotion. SJSH will not grant any credit/promotion which is at risk/in jeopardy as a result of absenteeism. Parents will be notified if, due to absenteeism, success at SJSH is at risk or in jeopardy.

Parental Acknowledgements:

A) I/We acknowledge that SJSH can discontinue registration at any time in accordance with the school’s Withdrawal / Refund / Reduction of Obligation Policy.
B) I/We understand that, registration at SJSH, will be jeopardized or discontinued if we have not make full disclosure of any information about our child with regard to; intellectual, academic, social, emotional, behavioural, medical, psychological, school, prior Safety Plans, smoking/vaping, illegal activity or police involvement; and/or if our child does not continue to meet SJSH’s Student Standards of Good Conduct/Teachability, SJSH’s Student Order and Discipline Policy and SJSH’s Rules; and/or if we do not continue to accept, support and promote SJSH’s philosophies, policies, procedures, rules and practices; SJSH’s decisions and responses to students’ behaviours; or if we allow or encourage, by act or omission of an act, any behaviours that are contrary to the SJSH’s Code of Behaviour. If upon receipt of a child’s OSR, if it includes a suspension(s), expulsion or a Safety Plan, which the parent(s) have not disclosed prior to registration, the child’s placement at SJSH will be re-evaluated and/or registration may be revoked.
C) I/WE give ‘in loco parentis’ (parental authority) to SJSH for all school related matters regarding our child.
D) I/We acknowledge and accept that in all instances except being legally separated or divorced as of the date of registration, the signature of one parent does legally bind the other parent/guardian to all the conditions of this contract and both parents are jointly and severally liable for the total tuition and fees.
E) I/We [Parent(s)/Guardian] acknowledge that we, jointly and severally, have an unconditional obligation to pay the tuition, all fees and all Additional Services charges, levies and assessments as may be rendered, from time to time, by SJSH.
F) This contract is also binding with any incorporated business owned by either or both signers and collection can occur directly against the corporation.
G) Failure to communicate if payment will be late can result in your account being forwarded for collection of the full tuition. Service can/will be immediately suspended. A stop payment or NSF cheque is a late payment and $50 is charged. Interest of 1% per month will be charged on any delinquent account.
H) Upon receipt of a child’s OSR, if it includes an I.E.P. not addressed by the students’ Class Placement, or suspension(s), or expulsion or a Safety Plan, the child’s placement at SJSH will be re-evaluated and/or registration may be revoked.
I) This contract replaces/supersedes any prior stated/implied agreement. No future stated/implied agreement, unless both parties agreed, in writing, shall be part of this contract.

I/We have read, understood and unconditionally accept all conditions of this contract including, but not limited to: SJSH’s Student Standards of Good Conduct and Teachability; SJSH’s Student Order and Discipline Policy; SJSH’s Attendance Policy; SJSH’s Grade 11 and 12 Mathematics and English Credit Policy; SJSH’s Rules; SJSH’s Operational Policies and Procedures and SJSH’s Withdrawal/ Refund/ Reduction of Obligation Policy, which are contained either herein or available for review at the school’s main office. J) I/We, have taken all the time required and have sought all the counsel needed to enter into this contractual agreement with full understanding and consent to all its conditions.

Signature of Primary Contact Parent

Signature of Second Parent

"*" indicates required fields

Step 1 of 4

25%

Registration for the 2025-2026 School Year

Start Date: September 2, 2025
End Date: June 19, 2026
10 Months

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Number of Students * Required

Student Information & Release Form

Student 1 – Name * Required

First Last

Student 1 – Date of Birth * Required

MM slash DD slash YYYY

Student 1 – Grade Entering * Required

This field is hidden when viewing the form

Student 1 – Tuition Code

Student 1 – Previous School

Student 1 – Last grade enrolled in at previous school * Required

Student 1 – OHIP Card Number * Required

Student 1 – Doctor * Required

Student 1 – Doctor's Telephone Number * Required

Student 1 – Medical Concerns? * Required

Yes

Student 1 – Medical Concerns * Required

Student 1 – Medication? * Required

Yes

Student 1 – Medication * Required

Student 1 – Allergies? * Required

Yes

Student 1 – Allergies * Required

Student 1 – After School Supervision? * Required

Yes

Student 2 – Name * Required

First Last

Student 2 – Date of Birth * Required

MM slash DD slash YYYY

Student 2 – Grade Entering * Required

This field is hidden when viewing the form

Student 2 – Tuition Code

Student 2 – Previous School

Student 2 – Last grade enrolled in at previous school * Required

Student 2 – OHIP Card Number * Required

Doctor's Info

This student has the same doctor’s info as Student 1

This student has a different doctor

Student 2 – Doctor * Required

Student 2 – Doctor's Telephone Number * Required

Student 2 – Medical Concerns? * Required

Yes

Student 2 – Medical Concerns * Required

Student 2 – Medication? * Required

Yes

Student 2 – Medication * Required

Student 2 – Allergies? * Required

Yes

Student 2 – Allergies * Required

Student 2 – After School Supervision? * Required

Yes

Student 3 – Name * Required

First Last

Student 3 – Date of Birth * Required

MM slash DD slash YYYY

Student 3 – Grade Entering * Required

This field is hidden when viewing the form

Student 3 – Tuition Code

Student 3 – Previous School

Student 3 – Last grade enrolled in at previous school * Required

Student 3 – OHIP Card Number * Required

Doctor's Info

This student has the same doctor’s info as Student 1

This student has a different doctor

Student 3 – Doctor * Required

Student 3 – Doctor's Telephone Number * Required

Student 3 – Medical Concerns? * Required

Yes

Student 3 – Medical Concerns * Required

Student 3 – Medication? * Required

Yes

Student 3 – Medication * Required

Student 3 – Allergies? * Required

Yes

Student 3 – Allergies * Required

Student 3 – After School Supervision? * Required

Yes

Student 4 – Name * Required

First Last

Student 4 – Date of Birth * Required

MM slash DD slash YYYY

Student 4 – Grade Entering * Required

This field is hidden when viewing the form

Student 4 – Tuition Code

Student 4 – Previous School

Student 4 – Last grade enrolled in at previous school * Required

Student 4 – OHIP Card Number * Required

Doctor's Info

This student has the same doctor’s info as Student 1

This student has a different doctor

Student 4 – Doctor * Required

Student 4 – Doctor's Telephone Number * Required

Student 4 – Medical Concerns? * Required

Yes

Student 4 – Medical Concerns * Required

Student 4 – Medication? * Required

Yes

Student 4 – Medication * Required

Student 4 – Allergies? * Required

Yes

Student 4 – Allergies * Required

Student 4 – After School Supervision? * Required

Yes

MEDICAL LIABILITY RELEASE & CONSENT AUTHORIZATION TO THE TREATMENT OF A MINOR & ADMINISTRATION OF MEDICATION TO A MINOR:

Signature (Primary Contact Parent) * Required

Signature (Second Parent)

Summary of tuition and payments

Tuition – Student 1

Price:

Code: A1

Tuition – Student 1

Price:

Code: B1

Tuition – Student 1

Price:

Code: C1

Tuition – Student 1

Price:

Code: D1

Tuition – Student 1

Price:

Code: E1

Tuition – Student 2

Price:

Code: A2

Tuition – Student 2

Price:

Code: B2

Tuition – Student 2

Price:

Code: C2

Tuition – Student 2

Price:

Code: D2

Tuition – Student 2

Price:

Code: E2

Tuition – Student 3

Price:

Code: A3

Tuition – Student 3

Price:

Code: B3

Tuition – Student 3

Price:

Code: C3

Tuition – Student 3

Price:

Code: D3

Tuition – Student 4

Price:

Code: A4

Tuition – Student 4

Price:

Code: B4

Tuition – Student 4

Price:

Code: C4

Tuition – Student 4

Price:

Code: D4

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Total Tuition

After School Supervision

Summary of After School Supervision costs:

After School Supervision

1st student

Price:

After School Supervision

2nd student

Price:

After School Supervision

3rd student

Price:

After School Supervision

4th student

Price:

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After School Supervision Total

Fee Summary

Total (Balance Owing)

Tuition plus after school supervision (if selected)

Non-Refundable Tuition Deposit

15% of total balance owing

Balance Due After Deposit

Total Tuition minus 15% deposit

Monthly Payment Amount

Balance due after deposit divided by 12 months. Payment begins May 1st, 2025

Tuition is non-refundable as of date indicated:

As of May 1, 2025

As of June 1, 2025

As of July 1, 2025

As of Aug 1, 2025

As of Sept 1, 2025

As of Oct 1, 2025

As of Nov 1, 2025

As of Dec 1, 2025

As of Jan 1, 2026

As of Feb 1, 2026

As of Mar 1, 2026

Registration is not complete until SJSH has received . . .

A copy of the student’s last report card; and
A copy of any previous IEP / assessment / diagnosis (academic, psycho-educational, medical, etc.); and
(if applicable) the high school’s transcript; and
A copy of each child’s birth certificate; and
A fully completed registration contract duly signed and dated by both parents; and
A completed SJSH information form; and
A completed PAD agreement for automatic bank withdrawals or credit card payments (+ 2%) and thereafter beginning 01-05-2025 and continuing the next 11 consecutive months ending 01-04-2026 and
A copy of a void cheque or complete credit card information (2% fee will be added to each transaction); and
An e-transfer of 15% of the tuition fees which is totally non-refundable upon receipt.

Notice of Withdrawal Policy

Refund / Reduction of Obligation Policy

Initials * Required

We have read and acknowledge this schedule of non-refundable payments and tuition withdrawal policy.

Parent Information

Primary Contact Parent * Required

First Name Last Name

Relationship to Student(s)

Mother

Father

Legal Guardian

Phone Number * Required

Email * Required

Address * Required

Street Address Address Line 2 City Province Postal Code Country

Business

Business Address

Business Phone

Second Parent

First Name Last Name

Relationship to Student(s)

Mother

Father

Legal Guardian

Secondary Address?

Same address as primary parent

Different address

Secondary Address * Required

Street Address Address Line 2 City Province Postal Code Country

Phone Number

Business

Business Address

Business Phone

Are children adopted? * Required

Yes

If yes, what age? If this answer is different for registering multiple students please explain.

Are parents divorced or separated? * Required

Yes

If yes, please provide details of custody

Is the child an international student? * Required

Yes

If yes, from where?

Emergency Contact Information * Required

Emergency Contact Person's Name

Relationship to Student(s)

Emergency Contact's Telephone Number

Banking information for Pre-authorized debits

Account holder name * Required

Last and first name(s) of account holder(s)

Account Holder Address * Required

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Financial Institution * Required

Institution Number * Required

Always 3 digits

Transit Number * Required

Always 5 digits

Bank Account Number * Required

Minimum of 7 digits

Payee – Contact Information

Scholars’ Hall Inc. / St. Jude’s School Inc.
888 Trillium Drive, Kitchener ON
N2R 1K4
Email: principal@sjsh.ca
Phone: 519-888-6620

Withdrawal Authorization

Each withdrawal will correspond to the total tuition plus any additional fees (less the deposit of 15%) divided by 12 payments (amount listed above under “monthly payment amount”).

Change or cancellation:

I shall inform the Payee, in a timely manner, of any changes to this Agreement.

I acknowledge that the delivery of this authorization to the Payee constitutes delivery by me to the aforementioned financial institution.

Reimbursement

I understand that a claim to this effect must be made to my financial institution following the procedure it will provide for that purpose.

Consent to disclosure of information * Required

Signature of second account holder

(only if two signatures are required)

Void Cheque * Required

Accepted file types: jpg, png, heic, gif, pdg, Max. file size: 10 MB.

Please upload a void cheque for your account. Filename cannot have any special characters letters and numbers only.

Maximum file size – 10 mega bytes.

2025-2026 School Year Registration Contract

Contractual Conditions

Educational Calendar

Educational Services

Accommodations

Administrative Involvement

Administrative Intervention

Student Placement

SJSH can re-assess Placement during the school year and revise tuition as necessary for the balance of the school year.

2025-2026 Registration

Registration for the 2025-2026 School Year

Student Information & Release Form

MEDICAL LIABILITY RELEASE & CONSENT AUTHORIZATION TO THE TREATMENT OF A MINOR & ADMINISTRATION OF MEDICATION TO A MINOR:

Summary of tuition and payments

After School Supervision

Fee Summary

Registration is not complete until SJSH has received . . .

Notice of Withdrawal Policy

Refund / Reduction of Obligation Policy

Parent Information

Banking information for Pre-authorized debits

Payee – Contact Information

Withdrawal Authorization

Change or cancellation:

Reimbursement

2025-2026 School Year Registration Contract

Contractual Conditions

Educational Calendar

Educational Services

Accommodations

Administrative Involvement

Administrative Intervention

Student Placement

Grade 11 and 12 Mathematics and English Credit Policy

Operational Policies and Procedures

SJSH’s Attendance Policy

Parental Acknowledgements:

Registration for the 2025-2026 School Year

Student Information & Release Form

MEDICAL LIABILITY RELEASE & CONSENT AUTHORIZATION TO THE TREATMENT OF A MINOR & ADMINISTRATION OF MEDICATION TO A MINOR:

Summary of tuition and payments

After School Supervision

Fee Summary

Registration is not complete until SJSH has received . . .

Notice of Withdrawal Policy

Refund / Reduction of Obligation Policy

Parent Information

Banking information for Pre-authorized debits

Payee – Contact Information

Withdrawal Authorization

Change or cancellation:

Reimbursement

2025-2026 School Year Registration Contract

Contractual Conditions

Educational Calendar

Educational Services

Accommodations

Administrative Involvement

Administrative Intervention

Student Placement

Grade 11 and 12 Mathematics and English Credit Policy

Operational Policies and Procedures

SJSH’s Attendance Policy

Parental Acknowledgements:

ST. JUDE’S

Scholars' Hall

ST. JUDE’S