Online Re-Enrollment Application

Dear Families,
Please complete the re-enrollment form below.

As we transition to the FACTS Management System, we are having families complete the re-enrollment process on this page for next school year. You can also find the updated tuition rates for the 2022-2023 school year on the Tuition and Fees page. Additionally, we will be providing more communication on the transition to FACTS for all enrollment purposes in the very near future.

Families will have the opportunity to re-enroll starting January 1 through February 15.

If you currently are unsure of your re-enrollment to Bishop Ludden for the 2022-2023 school year, please contact Jim Ryan in the enrollment office at jryan@syrdiocese.org.

If you re-enroll past February 15 without touching base with the enrollment office you will be assessed a $150 fee.

Student Name*
First Last
DOB (MM/DD/YYYY)*
MM slash DD slash YYYY
Grade Entering*
Student Lives With*
If other, please list:
Parent 1 Information
Street Address City State ZIP Code
Parent 1's Home Phone
Parent 1's Cell Phone
Parent 1's Work Phone
Parent 1's Email
Parent 2's Information
Street Address City State ZIP Code
Parent 2's Home Phone
Parent 2's Cell Phone
Parent 2's Work Phone
Parent 2's Email
Consent*
My signature acknowledges my receipt of, authorizes and agrees to the following:
Authorization to Release Records: Records such as Academic, Discipline, Testing, Psychological, Health, I.E.P, I.E.S.P, 504 Plans and other records necessary for consideration.
Textbook Request: I, the undersigned, request that my home school district loan to my child the textbooks required for his/her education and hereby authorize the principal of the school to act as my agent in the implementation of this request. I understand that all books loaned to my child are to be maintained in good condition and that said child will be responsible for the loss or excessive damage to these books.
Internet Agreement: As the parent/guardian of the student, I grant permission for my daughter/son to access networked computer services such as email and the internet. I have read and agree to the TERMS AND CONDITIONS.
Tuition: I have read and understand the tuition policy and payment policy for Bishop Ludden.
I agree
Publicity Consent and Release
- I GRANT permission for my child’s photo, name, grade and school to be published for marketing/publicity for Bishop Ludden
- I DO NOT GRANT permission for the use of my child’s photo or any other information to be used for marketing/publicity for Bishop Ludden
This authorization/agreement shall remain in effect while my child is attending Bishop Ludden. * Bishop Ludden will uphold your request to not have your child(ren) in any publications, but we might not be able control them being photographed in a candid group setting *
Part 1 Name*
First Last
Parent 1 Signature*
Date*
MM slash DD slash YYYY
Parent 2 Name
First Last
Parent 2 Signature
Date*
MM slash DD slash YYYY
Person Responsible for Payment of Tuition - must complete in order to register your child*
First Last
Responsible Person's Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Employer's Name*
Work Phone*
Signature*
Social Security Number*

Online Re-Enrollment Application

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