St. Theresa School

Kenilworth, NJ

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STS Home School Agreement

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  One of the primary functions of the HSA is to assist the school administration of Saint Theresa School (STS) attain its goals through fundraising efforts. Each family is expected to be an active member of the HSA. Please check one option and initial next to your selction.
  
  Option 1 - Full Participation of STS Family
  As a parent/guardian, I agree to fully meet the requirements of all the HSA fundraisers:
  * Sell a minimum of twenty (20) Calendar Sweepstakes tickets in the fall
  * Donate $125.00 retail value gift basket/prize item and volunteer for the purpose of the Annual Tricky Tray Auction
  * Participate in any other HSA fundraisers that you are able to participate in
  
  Option 2 - HSA Fundraiser Waiver
  I agree to pay a fee of $325.00 in lieu of the HSA fundraisers listed in the above Option 1. I understand this payment is due no later than July 1, 2021. I understand that this does not exempt me from the annual STS Candy Bar sale which is a school fundraiser (not an HSA fundraiser)
  
  By checking the box, I fully understand the requirements and terms of the HSA Parent Contract. I realize that my failure to comply with any part of the option I have selected may jeopardize my child(ren)'s registration. St. Theresa School reserves the right to discontinue educational services if payment is not made.
  I Agree Please select this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Child#1 Name & Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Child #2 Name & Grade Please enter valid data.
  
  Child #3 Name & Grade Please enter valid data.
  
  Option REQUIRED 0.0 – Option 1 (Payment is not required at this time) 325.0 – Option 2 Please fill out this field.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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