ࡱ> "$ ! VJbjbj )jjVFltttttttrrrrl,st"Ru(uuuuvvv$t ǫtvvvvvǫxttuuܫxxxv:tutuxvx xttŗuu b8YrvQŗ0"i\JwJŗxttttMercy Special Learning Center 830 South Woodward Street Allentown, PA 18103-3440 Website: www.mercyspeciallearning.org Phone (610) 797-8242 FAX (610) 797-9092 Email  HYPERLINK "mailto:mercylearn@rcn.com" mercylearn@rcn.com School Year 2009 - 2010 Dear Parents / Guardians, In planning for the 2009 2010 school year, we hope to count your child among those attending Mercy Special Learning Center in September. Tuition rates for the 2009 2010 school year are as follows: Catholic Tuition: first child - $2,700 any other child - $1,350 Non-Catholic Tuition: first child - $3,900 any other child - $1,950 Registration Fee: $75 Mercy Parent Alliance Fee: $25 Total Due with Registration: $100 Please complete all relevant pages of this registration packet and return the appropriate forms and the registration fee to Mercy by Friday, May 1st. We are sorry that it is repetitive, requiring the completion of the same information every year; however it is imperative that we have all information current and up to date. Should you have any questions or require additional information, please call our secretary, Sue Kustafik at (610) 797-8242 or myself. Please read the Equitable Participation Form in this packet and follow the directions to insure that your child is scheduled for any therapy services he/she may be eligible to receive. Determination of any changes in classroom placement of students will be made over the summer when we have a clearer idea of enrollment. Thank you for your cooperation! We are looking forward to working with you and your child for the next school year! Sincerely, Bridget L. Muehlenkamp Mrs. Bridget L. Muehlenkamp Principal School Age Students Mercy Special Learning Center 830 South Woodward Street Allentown, PA 18103-3440 Phone (610) 797-8242 FAX (610) 797-9092 Email  HYPERLINK "mailto:mercylearn@rcn.com" mercylearn@rcn.com 2009-2010 Registration Packet The following forms must be completed for each student: 1) Registration Form 2) Tuition Payment Preference Form 3) Parent Alliance Fundraising Responsibility Agreement 4) Certificate of Individual Request for Loan of Textbooks and Instructional Materials If you wish to be considered for ANY type of Tuition Scholarship (example: CEO, EPSF, Galgon Family, etc.) you must have the following forms available for review (in addition to the forms named below): 2008 PA Income Tax Return. These forms named here need only be completed if your are requesting the service / item: 1) Application for Tuition Assistance two pages plus a copy of your 2008 Federal Income Tax Return 2) Request for Transportation under Act 372 3) Gym Suit Order Form We request that you return all pertinent, completed registration packets to Mercy, with your registration fee, no later than Friday, May 1st . We are receiving inquiries for next school year and are developing a waiting list for students seeking to enroll. If your registration packet and fee have not been received by Friday, May 1st we will presume that your child is not planning to attend Mercy in September 2009. Please feel free to call me and discuss any concerns you might have with regard to your childs registration for next year. If you are enrolling your child at Mercy for the 2009-2010 school year, please read the Equitable Participation Form in this packet and follow the directions to insure that your child is scheduled for any therapy services he/she may be eligible to receive. Thank you for your cooperation in meeting our deadlines to enroll your child at Mercy for the 2009 2010 school year. Timely enrollment will permit us to plan for your childs individual needs within the classroom environment. Your cooperation is greatly appreciated. School Age Students Tuition Information M S L C 2009 2010 School Term In developing our budget for the upcoming school year, we recognize that tuition costs often impose a burden on the family budget and have kept those costs as near to last years figure as possible. The average cost to educate one child amounts to $17,215 per year. The balance of the funds needed come from a variety of sources within the funding of our budget. Any family that is finding financial difficulty in meeting their tuition responsibility for their school age child is welcome to apply for Tuition Assistance Scholarship. Scholarships are awarded on a need basis as long as funds are available. Families receiving scholarships will be notified by Monday, June 8th. Mercy tuition is paid using the First Star Savings Bank Program. Paperwork will be sent home once scholarship monies have been dispersed and any credits from Parent Alliance Fundraising has been applied. Should a problem arise in meeting your payments in a timely manner, PLEASE CALL THE OFFICE PROMPTLY, and we will work with you in any way possible. M S L C 2009 2010 Tuition Payment Preference Form Family Name _____________________________________ Student Name ____________________________________ Address _____________________________________ City, State Zip ____________________________________ PLEASE Check Only One Option _____ Option 1 Single Payment due Wednesday, August 5, 2009. If choosing this option and your payment is made by the date shown, you will receive a 2% Tuition discount off the amount due: Catholic Tuition discount amount to be paid: $2,646 Non-Catholic Tuition discount amount to be paid: $3,822 If your payment is not received by August 25 a Tuition program application will be sent. _____ Option 2 Two-Payment Plan due Wednesday, August 5 and Monday, December 14, 2009. If your payment is not received by August 25 a Tuition Program application will be sent. _____ Option 3 First Star Savings Bank Tuition Program monthly payment plan. Payments budgeted over 10 months beginning in September 2009. Payments to be withdrawn from your account on the 5th or 20th of each month according to your direction. ALL FAMILIES must choose a payment option. If you have any questions, please call Sue Kustafik in the office at (610) 797-8242 between the hours of 9:00 a.m. & 2:00 p.m. __________________________________________________________ ___________________________ Parents Signature Date MSLC School Uniform and Gym Uniform Information 2009 2010 School Term Girls wear yellow or white oxford shirts (or white turtlenecks in cold weather burgundy knit pullover in warm weather), white or burgundy socks or tights. Jumpers, skirts & navy blue skorts for all girls regardless of age and should be purchased at Flynn & OHara. Boys will continue to wear gray slacks, white or yellow oxford shirts or burgundy knit pullover shirt. Burgundy sweaters are optional for both girls and boys. The summer uniform does include gray Bermuda shorts, which can also be ordered thru Flynn & OHara. You may visit their store located in the Airport Road Shopping Center behind Friendlys Restaurant. REMEMBER order sizes that will compensate for your childs growth over the summer! ALSO .. allow ample time for your uniforms to come in when placing orders at Flynn & OHara. Ordering by mid-July should allow time for you to receive your order. Later than that date and you might not have the uniforms in time for the beginning of school. Burgundy knit shirts with Mercys logo may be ordered on the same form as the gym suits. LONG SLEEVE BURGUNDY KNIT SHIRTS w/ MERCYS LOGO ARE ALSO AVAILABLE AT FLYNN & OHARA. 2009 2010 School Year GYM SUIT & BURGUNDY UNIFORM SHIRT ORDER FORM Mercy Special Learning Center The official school gym suit is a burgundy Mercy Mustang T- Shirt*, a burgundy MSLC Sweatshirt* and black or gray sweatpants or conservative black or gray shorts. * The T-Shirt & Sweatshirt must be ordered thru Mercy. You will find an order form on the next page. Sweatpants and shorts may be purchased at any local store (K-Mart, Athletic Supply etc.) by you. When placing your order, please take in to account that your child will likely grow over the summer. We only place our order for the items that each parent orders. There will not be any items available to make exchanges for size in September. Students wear their gym suits on their assigned gym day as well as for certain field trips and/or special events that Mercy may participate in. Gym suit orders are due at school no later than Tuesday, May 5th with payment. Orders will not be accepted without payment. The order form for both the gym suit t-shirt and sweatshirt and the burgundy knit uniform shirt can be found on the next page! MSLC 2009 - 2010 Gym Suit Order Form MUSTANG T-SHIRTSSWEATSHIRTSYouthSizePrice# OrderedSizePrice# OrderedSmall ( 6 - 8 )S$8.50S$14.00Medium ( 10 - 12 )M$8.50M$14.00Large ( 14 - 16 )L$9.00L$14.50AdultSizePrice# OrderedSizePrice# OrderedSmall ( 34 - 36 )S$10.00S$15.50Medium ( 38 - 40 )M$10.00M$15.50Large ( 42 - 44 )L$10.00L$15.50X Large ( 46 - 48 )XL$11.00XL$16.00XX Large ( 50 - 52 )XXL$12.00XXL$17.00MSLC Burgundy Knit Uniform Pullover Shirt YouthSizePrice# OrderedSmall ( 6 - 8 )S$9.00Medium ( 10 - 12 )M$9.00Large ( 14 - 16 )L$9.00AdultSizePrice# OrderedSmall ( 34 - 36 )S$11.00Medium ( 38 - 40 )M$11.00Large ( 42 - 44 )L$11.00X Large ( 46 - 48 )XL$12.00XX Large ( 50 - 52 )XXL$13.00Total # Of Items Ordered  Total $ Amount Enclosed Student's Name Room # Mercy Special Learning Center 2009 2010 APPLICATION For Tuition Assistance Students Name _________________________________ Amount of tuition required before scholarship ___________ List all Household Members:MonthlySocial MonthlyMonthlyPension/Security WagesWelfare/Retirement/NameAgeNumber(Gross)SupportAlimony1234567Total Monthly Income_________________ In order to be considered for a scholarship, please attach the following to your application: A copy of your 2008 Federal Income Tax 1040 or 1040A All documentation must be submitted to Mercy by Friday, May 1, 2009. Scholarship awards will be announced by Monday, June 8, 2009. Approximate value of Assets, excluding primary residence (for example: property, timeshares, etc.) ___________ Other children attending Catholic School and / or college (please list child, age & name of school) _______________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ I desire my child to attend Mercy for the following reason(s) * Parent / Guardian Signature: * this statement must be filled in to complete the application process Mercy Special Learning Center Dear Parent, State Law (Act 195) authorizes the loan of textbooks by the Secretary of Education to children enrolled in non-public schools. Act 90 authorizes the loan of instructional materials. Mercy is now in the process of requesting the specific textbooks and materials to be loans to your children. The law requires, however, that a parent of each child attending the non-public school individually request a loan of textbooks and instructional materials. The form to be signed is below. Please complete and return to school with your registration packed. Thank you! Bridget L. Muehlenkamp Principal ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ CERTIFICATE OF INDIVIDUAL REQUEST FOR LOAN OF TEXTBOOKS & INSTRUCTIONAL MATERIALS School Year 2009-2010 I hereby request the loan of textbooks and instructional materials in accordance with Pennsylvania School Code of 1949 for my child(ren) attending Mercy Special Learning Center school. Date __________ Parent Signature _____________________________________________ This program is available only to Pennsylvania residents. Students Name _______________________________ Students Name _______________________________ Students Name _______________________________ 2009 2010 School Year Dear Parent, According to Pennsylvania Law, non-public school children are entitled to transportation to non-public schools as follows: 1. A district, which provides transportation for resident public school students, must also make identical provisions for the transportation of resident non-public school students. 2. Transportation for non-public school students must be provided to and from the non-public school in which the student is enrolled, even if the non-public school is located outside the district so long as the distance is not more than 10 miles beyond the district boundaries. (Note this distance may be in excess of 10 miles from students homes). 3. A district may transport children who live along hazardous routes even though the children live within walking distance of the school. If you think you are eligible for transportation and desire said transportation, please complete the Request Form below and return it to school with this registration packed. Bridget L. Muehlenkamp, Principal REQUEST FOR TRANSPORTATION UNDER ACT 372 (please -- complete a separate form for each child needing bus transportation) Name of child ______________________________________ Date of Birth ______________________ Grade Entering ungraded Address (if rural address, indicate specific location) __________________________________________________________ __________________________________________________________ Name of non-public School attending in September 2009: Mercy Special Learning Center Name of Public School District (in which child resides) ___________________________ The above named child lives approx. _____ miles from Mercy Special Learning Center. If child received public school district transportation last year, please indicate bus number ______ and district transporting _________________ Parent(s) Name ____________________________________________ Parent(s) Signature _________________________________________ Date ____________________ Home Phone # _____________________________________________ Emergency Contact Names & Phone Numbers _____________________________________________ _____________________________________________ School Age Students Parent Alliance Fundraising Responsibility Agreement Please read carefully as this policy has changed from last year. I understand that I am expected to attend Parent Alliance Meetings scheduled during the school year. I agree to fulfill my financial responsibility of fundraising on behalf of the Parent Alliance in the amount of $600. This amount will reflect percentages of a fundraiser rather than a flat amount. For example: sell $500 worth of Corbi Pizza. Assuming Corbi Pizza gives us 40% profit on sales, you would receive $200 toward your fundraising obligation. I understand that a list of participating fundraisers will be provided at the beginning of the school year. All unfulfilled obligations will be billed directly to you prior to the end of the school year. You have the option of paying a buyout to be exempt from having to participate in the fundraising. The buyout for the 2009-2010 school year will be $600. Should you fail to meet your childs complete fundraising obligation, it may adversely affect your childs enrollment and/or scholarship opportunity at Mercy. The Parent Alliance is responsible for contributing $38,000 to the schools budget from their fundraising activities and events. We can only achieve this amount with the required participation of all families. Because of past problems, Mercy imposes a $30 charge for any checks returned for insufficient funds. We truly hope that we will not be forced to impose this fee and should a problem arise in meeting your payments in a timely manner, PLEASE CALL THE OFFICE PROMPTLY. We will work with you in any way possible. I understand and accept this responsibility. 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